Dopytalska Klaudia, Sobolewski Piotr, Błaszczak Agata, Szymańska Elżbieta, Walecka Irena
Department of Dermatology, Centre of Postgraduate Medical Education, Central Clinical Hospital of the Ministry of the Interior, Warsaw, Poland.
Reumatologia. 2018;56(6):392-398. doi: 10.5114/reum.2018.80718. Epub 2018 Dec 23.
Psoriasis is a chronic inflammatory dermatosis affecting 1-3% of the general population. Patients with psoriasis represent a heterogeneous population with individual disease expression - different degrees and severity of skin involvement. Psoriatic lesions in particular localizations such as the face, scalp, intertriginous or palmoplantar areas significantly reduce quality of life. Patients often feel ashamed, embarrassed, or self-conscious about their symptoms. Furthermore, genital psoriasis significantly affects sexual health. Among patients with psoriasis, the prevalence of special localizations is estimated to be 23-27% on the nails, 49% on the face, 12-16% on the palms and soles, and up to 36% in intertriginous regions. Due to peculiar features of skin in these areas, adequate and specific management is required, which is discussed in this review.
银屑病是一种慢性炎症性皮肤病,影响着1%至3%的普通人群。银屑病患者群体具有异质性,个体疾病表现各异——皮肤受累程度和严重程度不同。银屑病在特定部位如面部、头皮、褶皱部位或掌跖部位的皮损会显著降低生活质量。患者常常对自己的症状感到羞愧、尴尬或自觉难为情。此外,生殖器银屑病会显著影响性健康。在银屑病患者中,特殊部位的患病率估计为:指甲23%至27%,面部49%,手掌和脚底12%至16%,褶皱部位高达36%。由于这些部位皮肤的特殊特征,需要进行充分且特定的管理,本综述将对此进行讨论。