Rajguru Jagadish P, Maya Deepthi, Kumar Dinesh, Suri Prerna, Bhardwaj Shweta, Patel Nishitkumar D
Department of Oral and Maxillofacial Pathology, Hi-Tech Dental College and Hospital, Bhubaneswar, Odisha, India.
BDS, Private Practitioner, Gokhale Nagar, Ramanthapur, Hyderabad, Telangana, India.
J Family Med Prim Care. 2020 Jan 28;9(1):20-24. doi: 10.4103/jfmpc.jfmpc_689_19. eCollection 2020 Jan.
Psoriasis is a disease characterized by the presence of papules and plaques over the surface of skin with variable morphology, distribution and severity. The lesions of psoriasis are distinct from these other entities and are classically very well circumscribed, circular, red papules or plaques with a grey or silvery-white, dry scale. In addition, the lesions are typically distributed symmetrically on the scalp, elbows, knees, lumbosacral area, and in the body folds. The oral manifestations of psoriasis may involve the oral mucosa or the tongue. The dorsal surface of the tongue shows characteristic red patches surrounded with a yellow white border. The relationship between eye lesions and psoriasis are the current findings in the literature. The ocular complications along with the several extracutaneous manifestations are common complications seen in psoriasis. The pathogenesis of exact relationship between these two is still controversial. Immunological studies have shown a positive relationship between T helper cells and uveitis. Various signs and symptoms of ocular psoriasis may be overlooked. Thus, a complete understanding of ophthalmic involvement is important to the comprehensive care of patients with psoriasis. Almost any part of the body can be affected in psoriasis, but the ophthalmic complications of psoriasis usually remain clinically subtle. This review highlights the various manifestations of psoriasis with their clinical sign and symptoms.
银屑病是一种以皮肤表面出现形态、分布和严重程度各异的丘疹和斑块为特征的疾病。银屑病的皮损与其他病症不同,典型表现为边界清晰、圆形的红色丘疹或斑块,伴有灰色或银白色的干燥鳞屑。此外,皮损通常对称分布于头皮、肘部、膝部、腰骶部以及身体褶皱处。银屑病的口腔表现可能累及口腔黏膜或舌头。舌背可见特征性的红色斑块,周围有黄白色边界。眼部病变与银屑病的关系是目前文献中的研究发现。眼部并发症以及多种皮肤外表现是银屑病常见的并发症。两者之间确切关系的发病机制仍存在争议。免疫学研究表明辅助性T细胞与葡萄膜炎之间存在正相关。眼部银屑病的各种体征和症状可能被忽视。因此,全面了解眼部受累情况对于银屑病患者的综合治疗至关重要。银屑病几乎可累及身体的任何部位,但银屑病的眼部并发症在临床上通常较为隐匿。本综述重点介绍了银屑病的各种临床表现及其体征和症状。