Managing Psoriasis Beyond Skin: Early Treatment and Associated Comorbidities

2023-06-11 06:58:40

Beyond affecting the skin, psoriasis can be accompanied by other comorbidities that must be treated early.

By: Luisa Ochoa


During the successful educational meeting of Protect your Fur in Plaza Las Américas, Dr. José González Chávez, dermatologist and researcher in diseases of the furexplained several aspects that patients and physicians must take into account to achieve success in the treatment of psoriasis.

Being an autoimmune, hereditary and inflammatory disease, the manifestations of the psoriasis They are usually varied, although the majority of patients, between 80 to 90%, present the classic lesions of reddish and raised plaques in areas of the elbows, knees, scalp and extremities.

Therefore, the dermatologist indicated that it is essential to evaluate the symptoms of the psoriasis and its relationship with other similar conditions.

Key 1: evaluate the associated comorbidities presented by psoriasis patients

“There are many genes that are involved in the manifestation of the psoriasis that are not only manifested in the furbut in other diseases and additional comorbidities and that includes psoriatic arthritis, metabolic syndrome and uveitis that can come together with the manifestations of the fur”, he explained.

For this, it is important that patients go to the right doctors to treat this disease from its early stages. In the words of Dr. González Chávez, the ideal is for him to be a dermatologist or rheumatologist with extensive knowledge in the management of psoriasis.

Key 2: The doctor must have extensive knowledge and experience in the management of psoriasis

“It is important that the doctor be a dermatologist or rheumatologist, that he be a person committed to treating the psoriasis, that you have access to other specialists, the knowledge and that you have the willingness to handle the paperwork that entails. It is important that the patient go to a doctor who can guide them to have access to medications for psoriasis“, he claimed.

The psoriasis It is a condition that must be diagnosed and treated early to prevent exacerbations in the fur and other organs of the body worsen and negatively affect the quality of life of patients.

In diagnosis, for example, physicians must not only perform the clinical evaluation of the furbut also review the physical state of the patient and refer if necessary to other specialists to highlight underlying conditions.

“Although in the vast majority of cases the diagnosis is clinical, there are circumstances where they can be confused with other conditions and require a biopsy of furin addition to the physical examination that should not only be referred to the furbut the joints and the history of metabolic syndrome must be evaluated”, added Dr. Chávez.

Key 3: choose the right treatment for psoriasis

Another fundamental aspect is choosing the most appropriate treatment. This varies depending on the severity of the psoriasis that the patient presents, his symptoms and other factors that are discussed with the dermatologist.

“Treat the psoriasis It is an expensive disease and if you treat it badly from the beginning it is more expensive. Fortunately, in our country patients have access to most medications, and therapeutic help in the early stages is important so as not to reach a point where the psoriasis affects school, work, daily life and interpersonal relationships”.

Regarding the treatments, Dr. Chávez recognized that biological drugs changed the course of disease management. Now they are specifically aimed at attacking the inflammation that causes the symptoms, in order to provide patients with a better quality of life.

“We have access to multiple drugs when the patient does not respond to any treatment, however, what has changed the course of disease management in the last 25 years has been the development of immunity that resulted in the arrival of biological drugs. ”, he concluded.

See the full program here.

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