Diagnostic and therapeutic guidelines for plaque psoriasis - Brazilian Society of Dermatology

被引:17
作者
Arnone, Marcelo [1 ]
Fonseca Takahashi, Maria Denise [1 ]
Esteves de Carvalho, Andre Vicente [2 ]
Bernardo, Wanderley Marques [3 ]
Bressan, Aline Lopes [4 ]
Coelho Ramos, Andrea Machado [5 ]
Terena, Aripuana Coberio [6 ]
Souza, Cacilda da Silva [7 ]
Nunes, Daniel Holthausen [8 ]
de Carvalho Bortoletto, Maria Cecilia [9 ]
Santos Paim de Oliveira, Maria de Fatima [10 ]
Neffa, Jane Marcy [11 ]
Fieri, Luciana Cristina [12 ]
Azulay-Abulafia, Luna [13 ,14 ]
Oldani Felix, Paulo Antonio [15 ]
Magalhaes, Renata Ferreira [16 ]
Romitil, Ricardo [1 ]
Jaime, Tatiana Jerez [17 ]
机构
[1] Univ Sao Paulo, Dept Dermatol, Hosp Clin, Sch Med, Sao Paulo, SP, Brazil
[2] Hosp Moinhos Vento, Ctr Psoriasis & Psoriat Arthrit, Serv Rheumatol, Porto Alegre, RS, Brazil
[3] Univ Sao Paulo, Ctr Dev Med Educ, Sch Med, Sao Paulo, SP, Brazil
[4] Univ Estado Rio de Janeiro, Serv Dermatol, Hosp Univ Pedro Ernesto, Rio De Janeiro, RJ, Brazil
[5] Univ Fed Minas Gerais, Serv Dermatol, Hosp Clin, Belo Horizonte, MG, Brazil
[6] Ctr Reference Phototherapy & Cutaneous Photobiol, Belo Horizonte, MG, Brazil
[7] Univ Sao Paulo, Div Dermatol, Dept Internal Med, Fac Med Ribeirao Preto, Ribeirao Preto, SP, Brazil
[8] Univ Fed Santa Catarina, Serv Dermatol, Hosp Univ, Florianopolis, SC, Brazil
[9] Fac Med ABC, Outpatient Dept Dermatol, Santo Andre, SP, Brazil
[10] Dermatol Clin, DERMAPP, Salvador, BA, Brazil
[11] Univ Fed Fluminense, Dept Med, Dermatol Clin, Niteroi, RJ, Brazil
[12] Univ Mogi das Cruzes, Serv Dermatol, Mogi Das Cruzes, SP, Brazil
[13] Univ Estado Rio de Janeiro, Fac Med Sci, Rio De Janeiro, RJ, Brazil
[14] Santa Casa Misericordia Rio de Janeiro, Inst Dermatol Prof RD Azulay, Rio De Janeiro, RJ, Brazil
[15] Hosp Fed Servidores Estado, Serv Dermatol, Rio De Janeiro, RJ, Brazil
[16] Univ Estadual Campinas, Dept Internal Med, Fac Ciencias Med, Campinas, SP, Brazil
[17] Clin Jerez Dermatol, Barueri, SP, Brazil
关键词
Biological therapy; Comorbidity; Dermatology; Practice guidelines as topic; Psoriasis; QUALITY-OF-LIFE; BAND-ULTRAVIOLET-B; TO-SEVERE PSORIASIS; RANDOMIZED CONTROLLED-TRIAL; INFLAMMATORY-BOWEL-DISEASE; PSORALEN PLUS ULTRAVIOLET; CARDIOVASCULAR RISK-FACTORS; PHYSICIAN GLOBAL ASSESSMENT; PATIENT-REPORTED OUTCOMES; PLACEBO-CONTROLLED TRIAL;
D O I
10.1590/abd1806-4841.2019940211
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Psoriasis is a chronic inflammatory disease that affects 1.3% of the Brazilian population. The most common clinical manifestations are erythematous, scaling lesions that affect both genders and can occur on any anatomical site, preferentially involving the knees, elbows, scalp and genitals. Besides the impact on the quality of life, the systemic nature of the disease makes psoriasis an independent risk factor for cardiovascular disease, especially in young patients with severe disease. By an initiative of the Brazilian Society of Dermatology, dermatologists with renowned clinical experience in the management of psoriasis were invited to form a work group that, in a partnership with the Brazilian Medical Association, dedicated themselves to create the Plaque Psoriasis Diagnostic and Treatment Guidelines. The relevant issues for the diagnosis (evaluation of severity and comorbidities) and treatment of plaque psoriasis were defined. The issues generated a search strategy in the Medline-PubMed database up to July 2018. Subsequently, the answers to the questions of the recommendations were devised, and each reference selected presented the respective level of recommendation and strength of scientific evidence. The final recommendations for making up the final text were worded by the coordinators.
引用
收藏
页码:S76 / S107
页数:32
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