Before a planned break from a systemic agent, record a baseline severity score, photographs and the patient's own flare signs. Give them a clear route to be seen early if symptoms return.
These records let you tell a true relapse from normal fluctuation, and restart treatment with confidence about what response to expect.
- Record EASI, PASI or an equivalent score before the break.
- Take standard photographs from fixed angles.
- Agree what counts as a flare and who to contact.
- Book a review within weeks, not months, of any withdrawal.
Why it matters
Without a baseline, relapse after a break is judged by memory.
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