DR DANICA TIODOROVIĆ: IF YOU APPEAR RED STAMPS ON YOUR BODY, here’s what you need to do

What is psoriasis, how does it occur and which groups of people are most sensitive, says Ddanica Tiodorović, dermatovenerologist

Various dermatological diseases are not exclusively skin diseases, as most of us think, but they can also cause other diseases, with serious consequences.

One of them is psoriasis, which leads to permanent damage to the joints and disability. Skin cancer is not ruled out either.

* What is psoriasis, when does it usually occur, in which population is it most often manifested, but also whether and how the corona virus can affect sick patients, says prof. Dr. Danica Tiodorović, dermatovenerologist at KC Niš.

“Psoriasis is a chronic, recurrent, non-communicable, inflammatory systemic disease, which significantly impairs the quality of life of patients. It can occur at all ages, most often between the ages of 15 and 30, as well as 50 and 60 years of age. It occurs equally often in both sexes. ”

Symptoms leading to the diagnosis:

It most often manifests itself in the form of red beaches covered with whitish squamas (deposits), localized on the skin of the elbows and knees. It can affect the head as well as other parts of the body. Changes can vary in location only and in intensity. Sometimes psoriasis can affect large areas of the skin, and about 60 percent of patients complain of itching. ”

Is there a universal treatment for psoriasis?

“There is no universal treatment, but one adapted to the type of psoriasis and to each patient individually. Patients with a limited form of the disease can be treated with local therapy, and systemic therapy is included in the case of an extended disease. Namely, it is a complex disease that can be presented in different clinical forms, on different parts of the body, on which the choice of therapy for a given patient depends. ”

Does the therapy help at all?

“Remission of the disease is possible, but it is not possible to predict how long the dormancy period will last. And as psoriasis is a multisystem disease, it should be borne in mind that the timely application of systemic therapy prevents the occurrence of metabolic syndrome, type 2 diabetes and cardiovascular diseases. “

However, it is a big step forward that biological therapy has become available in our country at the cost of insurance.

“Thanks to the engagement of experts in the field of dermatovenereology, patient associations and the RHIF, the long-awaited biological therapy for the treatment of psoriasis has been on the positive list of drugs since last year.”

* What kind of therapy is it and which patients are entitled to it?

“The right to this therapy, which affects the withdrawal of symptoms and stops the progression of the disease, have patients with moderate and severe psoriasis, those who are affected by this disease more than 10 percent of the skin, and who have not achieved a satisfactory clinical response to conventional therapeutic modalities. include systemic use of drugs such as retinoids, methotrexate, cyclosoporin, as well as phototherapy. Also, we opt for biological therapy in the case of significantly impaired quality of life of the patient, or when the mentioned drugs show relevant side effects during treatment. In addition to these criteria, biological therapy can be given to patients with psoriatic changes localized on the skin of the face, hands, palms and genital region. ”

* Today, more than ever, stress caused by fear of coronavirus infection seems to be arousing psoriasis.

“Among the numerous exogenous and endogenous stimuli that can trigger psoriasis, stress occupies a special place. In fact, stress is the most common trigger for psoriasis, triggered or exacerbated by pre-existing conditions. ”

“Social discrimination of patients most often stems from the misconception of the general population that psoriasis is a contagious disease, that it can be transmitted by contact. Only by properly informing and educating the public about the nature of psoriasis can patients be helped to overcome the everyday problems they face (stigmatization leads to psychological disorders, depression and anxiety), motivation for their treatment, and which would lead to improved quality of life. Think about it! ”

* And what should those who are already ill know?

“It is extremely important that they monitor the symptoms and arrange therapy with their dermatologist, because an individual approach is necessary for the treatment of this disease. Patients should pay attention to any changes in symptoms. By the way, I advise them healthy eating habits, moderate physical activity, weight regulation. Remember, weight loss in obese people with psoriasis reduces the activity of the disease! ”

Source: Lena / Branka Mitrović


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