Touraine R, Dubertret L
Rev Rhum Mal Osteoartic. 1979 Oct;46(10):523-7.
Skin psoriasis, a multi- causal disease with unknown mechanism, has several clinical aspects. Besides ordinary psoriasis with mica-like plaques and its special locations, two less known notions are underlined: the localized forms are often less typical (for example: scalp, ears, folds of the hand, foot and nails). They may be relevant to the rhumatologist for the diagnosis the inflammatory forms are often disseminated with pustules and keratosis and constitute another groups where the rhumatologic manifestations are more frequent and more severe. Various forms of treatment are active on the cutaneous symptoms, chronic or relapsing topical therapy with tar, corticoids, nitrogen mustard, photochemytherapy, oral derivatives of retinoic acid, and exceptionally immunosuppressors. Each technic has its advantages, its disadvantages on a short or long term. Therefore each patient should receive the therapy which is adapted to his form of psoriasis, the need and possibilities of the patient. Collaboration is a must and each patient should receive the adequate care making possible an improvement of his condition.
皮肤银屑病是一种病因多且机制不明的疾病，有多个临床方面。除了有云母样斑块的寻常型银屑病及其特殊部位外，还强调了两个鲜为人知的概念：局限性形式通常不太典型（例如：头皮、耳朵、手部褶皱、足部和指甲）。它们对于风湿病学家进行诊断可能有意义；炎症性形式通常伴有脓疱和角化病播散，构成了另一组，其中风湿病学表现更频繁、更严重。各种治疗形式对皮肤症状有效，包括焦油、皮质类固醇、氮芥的慢性或复发性局部治疗、光化学疗法、维甲酸口服衍生物，以及特殊情况下的免疫抑制剂。每种技术都有其短期和长期的优缺点。因此，每个患者都应接受适合其银屑病形式、患者需求和可能性的治疗。协作是必不可少的，每个患者都应得到充分的护理，以使病情有可能得到改善。
