Evidence map›Paper›PMID 39390737›Full record

GuidelineThe Journal of dermatology2024

Asia-Pacific consensus recommendations on the management of generalized pustular psoriasis.

Siew Eng Choon, Peter Anthony Foley, Pravit Asawanonda, Hideki Fujita, Seong-Jin Jo, Yu-Ling Shi, Colin Theng, Azura Mohd Affandi, Chul Hwan Bang, Maria Lorna Frez and 10 more

Abstract readPractice GuidelineSystematic ReviewConsensus Statement
In one paragraph

Guideline in The Journal of dermatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Article
  6. A review of core immuno-inflammatory mechanisms and key regulatory targets in psoriasis.American journal of clinical and experimental immunology · 2026
    Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Siew Eng ChoonClinical School Johor Bahru, Jeffrey Cheah School of Medicine & Health Sciences, Monash University, Johor Bahru, Malaysia.ORCID https://orcid.org/0000-0002-7796-5746
Peter Anthony FoleyThe University of Melbourne, St Vincent's Hospital Melbourne, Fitrozy, Victoria, Australia.ORCID https://orcid.org/0000-0001-5891-5607
Pravit AsawanondaDivision of Dermatology, Chulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-2628-0894
Hideki FujitaDivision of Cutaneous Science, Department of Dermatology, Nihon University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0001-8657-0618
Seong-Jin JoDepartment of Dermatology, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-2501-7672
Yu-Ling ShiDepartment of Dermatology, Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, China.ORCID https://orcid.org/0000-0002-1273-7881
Colin ThengThe Skin Specialists & Laser Clinic, Singapore, Singapore.ORCID https://orcid.org/0000-0003-2111-6718
Azura Mohd AffandiDepartment of Dermatology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0003-1323-0078
Chul Hwan BangDepartment of Dermatology, Seoul St. Mary's Hospital, College of Medicine, the Catholic University of Korea, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-6246-0331
Maria Lorna FrezDepartment of Dermatology, St Luke's Medical Center, Quezon City, Philippines.ORCID https://orcid.org/0000-0001-8611-767X
Huang Yu HueiDepartment of Dermatology, Chang Gung Memorial Hospital, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-0574-1839
Doanh Le HuuNational Hospital of Dermatology and Venereology, Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-9982-9905
Tae-Gyun KimDepartment of Dermatology, Cutaneous Biology Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-2116-4579
Akimichi MoritaDepartment of Geriatric and Environmental Dermatology, Nagoya City University Graduate School of Medical Sciences, Nagoya, 467-8601, Japan.ORCID https://orcid.org/0000-0001-8372-3754
Hazel H OonNational Skin Centre and Skin Research Institute of Singapore (SRIS), Singapore, Singapore.ORCID https://orcid.org/0000-0001-7607-3124
Pablo Fernández-PeñasDepartment of Dermatology, Westmead Hospital, Westmead, New South Wales, Australia.ORCID https://orcid.org/0000-0003-4882-1564
Natta RajatanavinPhototherapy Unit, Division of Dermatology, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0001-7674-0177
Suganthy RobinsonDepartment of Dermatology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0001-9987-7547
Latha SelvarajahDepartment of Dermatology, Sultan Ismail Hospital, Johor Bahru, Malaysia.ORCID https://orcid.org/0000-0002-4821-7474
Tsen-Fang TsaiDepartment of Dermatology, National Taiwan University Hospital, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-1498-1474

Funding

Boehringer Ingelheim
6 · The paper itself

Abstract

Generalized pustular psoriasis (GPP) is a rare, chronic, heterogeneous, and potentially life-threatening disease characterized by primary, sterile, and macroscopically visible pustules with or without systemic symptoms. There are ethnic differences in the genetic mutations associated with GPP that might affect the clinical manifestations and treatment responses. Currently, there is limited evidence from the patient population in the Asia-Pacific (APAC) region, resulting in a general paucity of information on the effective management of patients with GPP in this region. This modified Delphi panel study aimed to identify current evidence and gain advanced insights to facilitate the development of a regionally tailored APAC consensus on the management of GPP. A systematic literature review (SLR) was conducted to identify published literature and develop consensus statements on (i) definition and clinical course, (ii) diagnosis of GPP, (iii) treatment outcomes, goals, and monitoring measures, and (iv) optimal management strategies and clinical practices. Statements were rated by a panel of dermatologists in two rounds, with the threshold for consensus at ≥80% agreement. Twenty experts from the APAC region reached consensus on 106 statements that were developed based on the SLR and experts' collective expertise. The experts agreed that GPP is a rare, severe, and potentially life-threatening condition that is distinct from plaque psoriasis. This consensus emphasized the importance of a tailored treatment strategy taking into account the GPP flare severity and each patient's unique clinical circumstances. The experts reached consensus on the severity classification of GPP flares and recommended first-line and maintenance treatment options for adult GPP, childhood GPP, and GPP in pregnancy. These consensus outcomes have been synthesized into treatment algorithms to guide dermatologists in the APAC region in their clinical decision-making processes.

Indexed as

ConsensusDelphi TechniquePsoriasisAsiaDermatologic AgentsFemaleHumansSeverity of Illness IndexDermatologic AgentsAsia‐PacificconsensusDelphi panelgeneralized pustular psoriasismanagement

Identifiers

PMID39390737
PMCPMC11624156

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.