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CME: Present and novel approaches in the medical management of generalized pustular psoriasis: balancing out the therapeutic landscape

ACCREDITATION EXPIRED: September 01, 2025

Activity Description / Statement of Need:

In this online, self-learning activity:

Psoriasis is a T-lymphocyte-mediated condition that is one of the most common immune-mediated inflammatory diseases in the North America and Europe. Plaque psoriasis is the most common form of psoriasis, but several, rarer subtypes of psoriasis have been described, including pustular psoriasis, wherein neutrophils infiltrate the epidermis and present as raised, sterile pustules. One form of pustular psoriasis is generalized pustular psoriasis (GPP), which is characterized by primary, macroscopically visible pustules on the non-acral skin that may occur with or without systemic inflammation and may be relapsing or persistent. Another form is palmoplantar pustulosis (PPP), a persistent condition that is persistent and localized to the palms, soles, or both. These subtypes may be severe and life-threatening and pose a significant healthcare burden, contributing to hospital admissions, higher healthcare resource utilization, and reducing patient quality of life. One survey shows that a majority of patients live under psychological duress and experience at least two flares annually. The same sample reports that condition has a significant impact on their activities of daily living.

Target Audience:

HCPs including: Dermatologists, primary care physicians, and emergency medicine physicians; physician assistants, nurse practitioners, nurses, and pharmacists who practice in the aforementioned areas of specialty; and those with an interest in or commonly encounter patients with pustular psoriasis.  


Commercial Support Disclosure: This program is supported by an educational grant from Boehringer Ingelheim Pharmaceuticals.

This activity is free of charge.


Release Date: September 01, 2023 -- Expiration Date: September 01, 2025

Faculty: Scott Worswick, MD

Agenda

Faculty introduction, disclosures

Differential Diagnosis of GPP

o    Common causes of AGEP 

o    How to distinguish GPP from other diagnostic entities in clinical presentation 

- DRESS, AGEP, disseminated candida, mycoplasma, sub-corneal pustular dermatosis, Ofuji's syndrome

o    Labs and other features that can be useful to distinguish differential diagnoses of patients with pustules

GPP diagnostic and therapeutic considerations

  • Clinical clues, including nail changes, to look for in GPP patients
  • Therapeutic options for the treatment of GPP

o    Appropriate therapies & their dosages

- Focus on two randomized controlled trials including spesolimab

o    Adverse effects

o    Specialized patient considerations: pregnant patients, IL36RN mutation status, underlying organ dysfunction

Summary of clinical and therapeutic pearls, conclusions

Learning Objectives

By the end of the session the participant will be able to:

  • Describe ways in which GPP may be distinguished from other dermatologic conditions in the differential diagnosis, and apply that information to a patient case.
  • Use labs and other diagnostic tools to refine the differential of a patient with a widespread pustular eruption.
  • Discuss the ways in which physical examination of the skin and nails improves diagnostic ability in a patient presenting with widespread pustules.
  • Recall conventional and newer therapies for GPP and their mechanisms of action, dosing, and side effects, and apply that information to a patient case.

Accreditation

ACCME Activity #202547079

ACCREDITATION FOR THIS COURSE HAS EXPIRED. YOU MAY VIEW THE PROGRAM, BUT CME / CE IS NO LONGER AVAILABLE AND NO CERTIFICATE WILL BE ISSUED.

Faculty Disclosure and Resolution of COI

As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review by ScientiaCME.

Disclosures of Faculty: Scott Worswick, MD, Associate Clinical Professor, Department of Dermatology, Keck School of Medicine of USC, has received financial compensation from Boehringer Ingelheim for consulting and speaker's bureau work.

Disclosures of Educational Planners: Charles Turck, PharmD, BCPS, BCCCP, President of ScientiaCME, has no relevant financial disclosures.

Faculty WILL discuss off-label uses of a commercial product.

All relevant financial relationships have been mitigated.

ScientiaCME adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Commercial Support Disclosure: This program is supported by an educational grant from Boehringer Ingelheim Pharmaceuticals.

Instructions

  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Minimum participation threshold: Take the post-test. A score of 70% or higher is required to pass and proceed to the activity evaluation.
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural/Linguistic Competence & Health Disparities

System Requirements

PC
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
MAC
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version


Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.


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