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

机译:斑块牛皮癣诊断与治疗指南 - 巴西皮肤科学会

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摘要

Abstract: 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.
机译:摘要:牛皮癣是一种慢性炎症疾病,影响巴西人口的1.3%。最常见的临床表现为红斑,脱屑,影响男女两性和任何解剖部位可发生病变,累及优先膝,肘,头皮和生殖器。除了对生活质量的影响外,该疾病的全身性质使牛皮癣使心血管疾病的独立危险因素,特别是在患有严重疾病的年轻患者中。通过巴西皮肤病学会的倡议,邀请了具有知名临床经验的皮肤科医生,在牛皮癣管理中,形成一个与巴西医疗协会合作的工作组,致力于创造斑块牛皮癣诊断和治疗指南。定义了诊断(严重程度和羟基评估)的相关问题和斑块牛皮癣的治疗。这些问题在2018年7月的Medline-PubMed数据库中生成了搜索策略。随后,设计了建议问题问题的答案,所选的每次参考会提出了各自的建议和科学证据的力量水平。弥补最终文本的最终建议是由协调员措辞。

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