RESUMO
Psoriasis is highly prevalent and is associated with skin-associated complaints as well as arthritis, depression and a lower quality of life. Recently, it has been demonstrated that not only do patients with psoriasis have an increased prevalence of cardiovascular risk factors, but an increased risk of myocardial infarction, and for those with severe disease, increased mortality. Dermatologists and other health professionals need to be cognizant of this association and ensure that cardiovascular risk factors are evaluated and treated appropriately in those patients with psoriasis. We review the association between psoriasis, atherosclerosis and inflammation, as well as some treatable cardiovascular risk factors that may prove beneficial in reducing a patient's cardiovascular risk.
Assuntos
Doenças Cardiovasculares/etiologia , Psoríase/complicações , Aspirina/uso terapêutico , Doenças Cardiovasculares/imunologia , Diabetes Mellitus Tipo 2/complicações , Angiopatias Diabéticas/complicações , Dislipidemias/complicações , Feminino , Humanos , Interleucina-2/metabolismo , Masculino , Obesidade/metabolismo , Psoríase/imunologia , Fatores de Risco , Fumar/efeitos adversos , Fumar/metabolismo , Células Th1/metabolismo , Fator A de Crescimento do Endotélio Vascular/metabolismoRESUMO
Currently, only a minority of dermatologists participate in the primary hospital care of patients with severe skin disease. However, an opportunity exists to alter this course. We believe the current course is a detriment to our specialty, and as a specialists we should provide the care for the full spectrum of dermatologic diseases. Moreover, by not delivering complete dermatology care, our specialty also stands to lose respect from both our patients and peers. Our experience at UM suggests that the creation of a cadre of dermatology hospitalists at selected academic medical centers would allow improved patient hospital care, education, and research.
Assuntos
Dermatologia , Médicos Hospitalares , Hospitalização , Dermatopatias/terapia , Protocolos Clínicos , Dermatologia/organização & administração , Dermatologia/estatística & dados numéricos , Grupos Diagnósticos Relacionados , Departamentos Hospitalares/organização & administração , Hospitalização/estatística & dados numéricos , Humanos , Admissão do Paciente/normasRESUMO
Life quality of patients with severe forms of psoriasis can be greatly improved with an appropriate inpatient therapy. In an effort to better understand how to treat this disorder, this article explores several aspects of inpatient treatment for severe psoriasis. Special attention is given to the Goeckerman regimen, combination therapies, and some innovative approaches that may shorten the hospital stay and prolong the remission periods of the disease.
