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Spa therapy is considered an add-on treatment for psoriasis, but without any objective evaluation in the absence of randomized trials. This multicenter, open-label, randomized trial compared immediate spa therapy versus a control group having usual treatments until study assessments at 4. Spa therapy was proposed in five French spa resorts with standardized programs. Between January and November , patients were randomized to either immediate spa therapy 64 within 34 days, median or usual treatments 61 until assessment at 4.
Most were first-time spa users Immediate spa therapy patients achieved the primary objective for This randomized controlled trial demonstrated that a cure of spa therapy improves QoL and alleviates certain symptoms of psoriasis, in short and long terms. This justifies its integration in the therapeutic strategies for psoriasis. Trial registration number: ClinicalTrials. This disease is challenging due to its chronicity, and has a negative effect on quality of life QoL and a high prevalence of comorbidities Lebwohl et al.
In recent years, several therapeutic advances have improved the management of moderate to severe psoriasis, but some of these treatments may have side effects.
In a single patient, it may be necessary to use several different lines of treatment particularly because psoriasis is a lifelong disease. Moreover, in less severely affected patients, who make up the majority of the psoriasis population, topical drugs are the first-line treatment, but can be burdensome or difficult for patients to use and they may be associated with poor adherence in clinical practice Caldarola et al. Natural thermal waters have been used for their healing or curative properties for centuries Kazandjieva et al.
