Placintescu D
Dermatologue, pratique libérale, Station thermale d'Avène-les-Bains.
Ann Dermatol Venereol. 2020 Jan;147(1S):1S28-1S32. doi: 10.1016/S0151-9638(20)30034-X.
The classical description of psoriasis does not include any of the subjective symptoms that accompany skin manifestations (pruritus, burning, tingling, pain), which is surprising especially for pruritus, a symptom present in the majority of patients with this disease, in a variable proportion between 60% and more than 90%. For the last two decades, the scientific interest for this symptom has increased. Many studies are evaluating the potential positive effect of various classes of drugs. No therapy is totally free of side effects. Psoriasis is an indication of the thermal treatment. The thermal water from Avène Hydrotherapy Center is known for its anti-inflammatory and immunomodulatory properties, as shown by many scientific studies. In this context, from the year 2016, in the Thermal Center, we studied the prevalence and characteristics of pruritus in patients with psoriasis, who came for a thermal treatment, but also the effect of hydrotherapy. In 2016, a study based on a dedicated questionnaire, administered at the entrance of the thermal station, revealed the presence of pruritus for 92% of patients who responded. In the period 2017-2018, the evaluation of pruritus associated with psoriasis on a numerical scale, in parallel with the evaluation of the severity of the disease by the thermal physician, showed the improvement of the psoriatic pruritus by 42% after the hydrotherapy cure. Recent results suggest that treatment in Avène Hydrotherapy Center might be considered for managing psoriasis accompanied by subjective symptoms, especially pruritus. © 2020 Elsevier Masson SAS. All rights reserved.
银屑病的经典描述并未涵盖伴随皮肤表现出现的任何主观症状（瘙痒、灼痛、刺痛、疼痛），这一点令人惊讶，尤其是对于瘙痒而言，该症状在大多数银屑病患者中都存在，比例在60%至90%以上不等。在过去二十年中，对这一症状的科学关注度有所增加。许多研究正在评估各类药物的潜在积极作用。没有哪种治疗是完全没有副作用的。银屑病是热疗的一个适应症。阿维翁水疗中心的温泉水以其抗炎和免疫调节特性而闻名，许多科学研究都已证实。在此背景下，自2016年起，在该水疗中心，我们研究了前来接受热疗的银屑病患者中瘙痒的患病率及特征，同时也研究了水疗的效果。2016年，一项基于专门问卷的研究在热疗站入口处进行，结果显示，在做出回应的患者中，92%存在瘙痒症状。在2017 - 2018年期间，通过数字量表对与银屑病相关的瘙痒进行评估，同时由热疗医生对疾病严重程度进行评估，结果显示水疗治愈后银屑病瘙痒症状改善了42%。近期结果表明，对于伴有主观症状尤其是瘙痒的银屑病治疗，可考虑阿维翁水疗中心的治疗方法。© 2020爱思唯尔马松出版社。保留所有权利。
