Damevska Katerina, Neloska Lence, Nikolovska Suzana, Gocev Gorgi, Duma Silvia
University Clinic of Dermatology, Medical Faculty, Ss. Cyril and Methodius University, Skopje, Republic of Macedonia.
Dermatol Ther. 2014 Sep-Oct;27(5):281-3. doi: 10.1111/dth.12139. Epub 2014 Jun 25.
Despite the growing attention on safety and efficacy of conventional treatments, there is little information available on complementary and alternative medicine (CAM) used in psoriasis. In order to collect comprehensive information on CAM use, we conducted a face-to-face interview with 122 patients with psoriasis. All unconventional treatments for psoriasis used in the last 12 months were recorded. Fifty-seven patients (46.7%) used one of the CAM methods in the previous year, including topical and systemic antipsoriatics, dietary supplements, and diet. Forty-one different nonconventional topical treatments were used. Seven patients (5.7%) took nonconventional systemic medication, and 15.5% used dietary supplements. There were three patients who reported current adherence to a diet as treatment of psoriasis. Clinicians are often not informed that their patients are using complementary therapies. CAM may offer benefits as well as risks to patients with psoriasis. It is important to remind patient to report all ongoing and past topical and systemic treatments. The use of medications with unknown composition, efficiency, and safety should be discouraged.
尽管对传统治疗方法的安全性和有效性的关注度日益提高，但关于银屑病中使用的补充和替代医学（CAM）的信息却很少。为了收集有关CAM使用的全面信息，我们对122名银屑病患者进行了面对面访谈。记录了过去12个月内用于银屑病的所有非传统治疗方法。57名患者（46.7%）在前一年使用了一种CAM方法，包括局部和全身用抗银屑病药物、膳食补充剂和饮食。使用了41种不同的非传统局部治疗方法。7名患者（5.7%）服用了非传统的全身药物，15.5%的患者使用了膳食补充剂。有3名患者报告目前坚持饮食作为银屑病的治疗方法。临床医生常常未被告知他们的患者正在使用补充疗法。CAM可能给银屑病患者带来益处，也可能带来风险。提醒患者报告所有正在进行和过去的局部及全身治疗很重要。应不鼓励使用成分、功效和安全性未知的药物。
