פסוריאזיס (ספחת): מחלה רב-מערכתית (מחלות נילוות)

פסוריאזיס (ספחת): מחלה רב-מערכתית (מחלות נילוות)


It is important for you to know that the purpose
of this film is solely to provide information. It does not express an opinion, diagnosis,
recommendation of medical treatment
or consultation process
in the name of your family doctor Psoriasis
A Multy-System Disease Many people think mistakenly that Psoriasis is merely a skin disease. However, psoriasis can be
a symptom for other diseases, or it can cause
co-morbidities. Today, psoriasis is seen
as a multi-systemic disease that affects different
systems in the body, and its effect on the skin
seen merely as a symptom. The following clip
will tell us why. It has been known for years that psoriasis isn’t
only a disease of the skin. we knew that up to 30% of patients with dermal psoriasis may contract
a specific rheumatism, called “rheumatoid psoriasis”. In a small number of patients,
rheumatism precedes the skin disease, but in most,
the skin lesions appear first and the damage to the joints
appears only later on. We also know that patients
with damage to their scalp and nails are more likely to develop
rheumatoid psoriasis than others. Besides the joint disease, psoriasis
has other co-morbidities, statistics have shown us that a psoriasis patient
is more likely to develop a metabolic syndrome which is expressed by
high blood pressure, obesity and a higher level of
lipids and sugar in the blood. Psoriasis patients are
also more likely to develop cardio-vascular diseases.
What does that mean? Heart attacks, atherosclerosis
and brain strokes. We also know that in
psoriasis patients fatty liver is more prevalent
than in the general population. This is probably related
to the high level of lipids in the blood of many
of these patients. Another co-morbidity
which is less common is Crohn’s disease, the chronic
inflammatory disease of the bowel. In addition, psoriasis
patients suffer emotional stress which is related
to the severity of the disease but also to individual
factors that are not related
to the severity of the disease. Some statistics show that
up to 30% of psoriasis patients suffer from some sort
of depression and up to 22% of them
suffer from anxiety. Obviously, psoriasis can
adversely affect intimate relationships as well as
relationships at work. Therefore, when we
treat psoriasis patients, and especially those with
severe psoriasis, we, as dermatologists
or as family doctors, have to treat
the patient as a whole and examine not just
the aspects related to their skin, but also to find out
if the joints are involved, if there is a metabolic syndrome,
if there are cardio-vascular problems as well as the patient’s
mental state. To conclude we need
to form an overall approach and treat all the
additional factors.

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