Dermatology Department, St. Vincent's University Hospital, Elm Park Rd, Dublin 4, Ireland.
Am J Clin Dermatol. 2019 Oct;20(5):639-646. doi: 10.1007/s40257-019-00447-5.
Psoriasis involving the genital skin occurs in up to two-thirds of psoriasis patients but is often overlooked by physicians. Furthermore, psoriasis objective and subjective severity indexes for common plaque psoriasis often neglect the impact this small area of psoriasis can have on a patient. It can have a significant impact on patients' psychosocial function due to intrusive physical symptoms such as genital itch and pain, and a detrimental impact on sexual health and impaired relationships. The mainstay of treatment is topical therapy. In patients with genital psoriasis refractory to traditional topical treatment, biologic treatments may greatly improve patient outcomes.
多达三分之二的银屑病患者会出现生殖器皮肤受累，但往往被医生忽视。此外，常见斑块型银屑病的银屑病客观和主观严重程度指标往往忽略了这一小部分银屑病对患者的影响。由于生殖器瘙痒和疼痛等侵入性躯体症状，它会对患者的心理社会功能产生重大影响，并对性健康和人际关系造成损害。治疗的基础是局部治疗。对于传统局部治疗无效的生殖器银屑病患者，生物制剂治疗可能会极大地改善患者的预后。
