Wohlrab Johannes, Körber Andreas, Adler Georg, Blüher Matthias, Zirlik Andreas, Gerdes Sascha
Universitätsklinik für Dermatologie und Venerologie, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland.
Hautärzte Rue143, Essen, Deutschland.
Dermatologie (Heidelb). 2023 May;74(5):350-355. doi: 10.1007/s00105-023-05116-7. Epub 2023 Feb 22.
It has long been known that chronic inflammatory systemic diseases, such as psoriasis, pose a high risk of developing comorbidities. In everyday clinical practice, it is therefore of particular importance to identify patients who have an individually increased risk profile. In patients with psoriasis, the comorbidity patterns "metabolic syndrome", "cardiovascular comorbidity" and "mental illness" were identified as particularly relevant in epidemiological studies depending on the duration and severity of the disease. In the everyday care of patients with psoriasis in dermatological practice, the use of an interdisciplinary checklist for risk analysis and the initiation of professional follow-up care has proven valuable. On the basis of an existing checklist, the contents were critically evaluated by an interdisciplinary group of experts and a guideline-oriented update was prepared. In the opinion of the authors, the new analysis sheet represents a practicable, factually focused and updated tool for comorbidity risk assessment in patients with moderate and severe psoriasis.
长期以来，人们一直知道慢性炎症性全身性疾病，如银屑病，会带来很高的并发疾病风险。因此，在日常临床实践中，识别个体风险状况增加的患者尤为重要。在银屑病患者中，根据疾病的持续时间和严重程度，“代谢综合征”“心血管合并症”和“精神疾病”的共病模式在流行病学研究中被确定为特别相关。在皮肤科实践中对银屑病患者的日常护理中，使用跨学科清单进行风险分析并启动专业后续护理已被证明是有价值的。基于现有的清单，跨学科专家小组对其内容进行了批判性评估，并编制了一份以指南为导向的更新版本。作者认为，新的分析表是一种可行的、基于事实且更新后的工具，用于评估中度和重度银屑病患者的共病风险。
