Management of psoriasis in women 18 to 45 years of age in Australia and Japan: insights from patient and dermatologist surveys
2025

Managing Psoriasis in Women of Childbearing Age

Sample size: 58 publication 10 minutes Evidence: moderate

Author Information

Author(s): Yamaguchi Yukie MD, PhD, Spelman Lynda MBBS, FACD, Mizutani Yoko MD, PhD, Lukowski Bartosz PhD, Lanzafame Alfred PhD, Smith Annika MBBS, MPHTM

Primary Institution: Yokohama City University Graduate School of Medicine

Hypothesis

What are the perspectives of women with psoriasis regarding pregnancy and the management of their condition by dermatologists?

Conclusion

Additional safety information can help address concerns about biologic use in women of childbearing age, enabling dermatologists to make informed treatment recommendations.

Supporting Evidence

  • Most women with psoriasis felt inadequately informed about pregnancy planning.
  • Many dermatologists expressed safety concerns about prescribing TNFi during pregnancy.
  • Patients often initiated discussions about pregnancy planning themselves.

Takeaway

Women with psoriasis often feel confused about how their treatment affects pregnancy, and doctors also worry about prescribing certain medications during this time.

Methodology

Online surveys were completed by women aged 18 to 45 years who were pregnant within the past 5 years with moderate to severe psoriasis and dermatologists.

Potential Biases

Potential recall bias among participants and limited demographic representation.

Limitations

Small respondent size, lack of formal validation for questionnaires, recall bias, and generalizability of results.

Participant Demographics

Most participants were aged 31 to 40 years, with a mix of Australian and Japanese respondents.

Digital Object Identifier (DOI)

10.1097/JW9.0000000000000189

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