Combinations of Topical and Systemic Immunomodulators

CombinationsCombinations therapies are the cornerstone for many success stories in the treatmentTreatment of severe autoimmune and inflammatoryInflammatory disorders. Multifaceted approaches to reduce the consequences of steroidsSteroid as well as the immunosuppressant risks of other aggressive therapies are essential to maintain safety and accomplish remission. At the same time, the clinician has to be aware of the need for regular monitoring of these therapies especially when multidisciplinary care with a rheumatologist or oncologist is part of the plan. The discussion in this chapter will remind the dermatologist that as the captain of the patient’s care it is essential to be aware of all of the risks and benefits of immunomodulatoryImmunomodulatory therapies.