Naldi Luigi, Gambini Daniele
Centro Studi Gruppo Italiano Studi Epidemiologici in Dermatologia, Department of Dermatology, Ospedali Riuniti, 24100 Bergamo, Italy.
Clin Dermatol. 2007 Nov-Dec;25(6):510-8. doi: 10.1016/j.clindermatol.2007.08.003.
The clinical picture of psoriasis is not uniform. Being one of the most common chronic inflammatory skin disorders, psoriasis may present in many different forms and may include extracutaneous manifestations. Classifications have been proposed based on disease onset or the clinical course of psoriasis. Chronic plaque psoriasis occurs in a variety of clinical forms primarily distinguished by size, distribution, and dynamics of psoriatic plaques. In addition, psoriasis inversa, localized and generalized pustular forms, erythrodermic psoriasis, as well as a number of more uncommon forms have been recognized, a distinction on clinical grounds that is relevant for the overall prognosis and impact on the patients' quality of life as well as for the choice of therapy. The broad and rather colorful clinical spectrum of psoriasis as well as implications for clinical practice will be comprehensively reviewed in this article.
银屑病的临床表现并不一致。作为最常见的慢性炎症性皮肤病之一，银屑病可能以多种不同形式出现，还可能包括皮肤外表现。基于银屑病的发病或临床病程，已提出了多种分类方法。慢性斑块状银屑病以多种临床形式出现，主要根据银屑病斑块的大小、分布和动态变化来区分。此外，反向性银屑病、局限性和泛发性脓疱型、红皮病型银屑病以及一些较罕见的类型也已得到确认，这种基于临床的区分对于总体预后、对患者生活质量的影响以及治疗选择都具有重要意义。本文将全面综述银屑病广泛且颇为多样的临床谱及其对临床实践的影响。
