Psoriasis

  1. Jiménez Gómez, Natalia
  2. Ballester Martínez, María Asunción
  3. Pérez Gala, S.
  4. Gárate Ayastuy, Teresa
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2014

Título del ejemplar: Enfermedades de la piel (I): dermatosis infecciosas, descamativas, bullosas y sistémicas

Serie: 11

Número: 47

Páginas: 2764-2773

Tipo: Artículo

DOI: 10.1016/S0304-5412(14)70695-X DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

La psoriasis es una enfermedad crónica sistémica, con manifestaciones cutáneas y articulares de características inflamatorias. Sus lesiones cutáneas típicas consisten en placas eritematodescamativas bien delimitadas, localizadas en áreas de extensión. Se considera una enfermedad de base genética, sobre la que actúan distintos factores ambientales que pueden desencadenar las lesiones. El diagnóstico de la enfermedad es clínico, pudiendo apoyarse en la biopsia cutánea. La psoriasis leve/moderada puede manejarse con tratamiento tópico, incluyendo corticoides, derivados de la vitamina D o A, inhibidores de la calcineurina o combinaciones de los anteriores. En los casos más extensos, emplearemos tratamiento sistémico basado en la fototerapia, los fármacos clásicos (metotrexato, ciclosporina, retinoides) o los fármacos biológicos. En esta revisión, actualizaremos el manejo de dicha patología y repasaremos las principales enfermedades eritematodescamativas.

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