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[寻常型银屑病的治疗:以患者为中心的最佳治疗策略]

[Treatment of psoriasis vulgaris : Therapy strategies for optimal patient-centered care].

作者信息

Seidel Paloma, Magnolo Nina

机构信息

Hautklinik, Zentrale Studienkoordination für Innovative Dermatologie, Universitätsklinikum Münster, Von-Esmarch-Str. 58, 48149, Münster, Deutschland.

出版信息

Dermatologie (Heidelb). 2024 May;75(5):417-427. doi: 10.1007/s00105-024-05310-1. Epub 2024 Mar 7.

Abstract

Psoriasis is a chronic inflammatory systemic disease that requires optimal long-term management due to its high prevalence in the population and the numerous comorbidities that severely impair quality of life. A variety of treatment options are now available. In addition to objective skin findings and a specific location such as nails or genital area, the presence of psoriatic arthritis and other comorbidities as well as the disease burden of the affected person play a decisive role in individualized treatment decision-making. Good communication with the patient is fundamental to understand the individual needs and expectations of the patient. Shared decision-making can positively influence adherence and thus also the clinical outcome and patient satisfaction. In addition, interdisciplinary collaboration is crucial and often necessary for a comprehensive therapy strategy.

摘要

银屑病是一种慢性炎症性全身性疾病,由于其在人群中的高患病率以及众多严重损害生活质量的合并症,需要进行最佳的长期管理。现在有多种治疗选择。除了客观的皮肤表现和特定部位(如指甲或生殖器区域)外,银屑病关节炎和其他合并症的存在以及患者的疾病负担在个体化治疗决策中起决定性作用。与患者进行良好的沟通是了解患者个人需求和期望的基础。共同决策可以对依从性产生积极影响,从而也对临床结果和患者满意度产生积极影响。此外,跨学科合作对于全面的治疗策略至关重要且往往是必要的。

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