CLINICO-EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH PSORIASIS IN A UNIVERSITY HOSPITAL
DOI:
https://doi.org/10.47820/recima21.v4i1.4142Keywords:
Skin diseases. Psoriasis. EpidemiologyAbstract
INTRODUCTION: Psoriasis is a chronic inflammatory disease of the skin, nails and joints, recurrent, immune-mediated, genetically based, with a large clinical expression polymorphism. It has a universal character, that occurs as erythemato-descamative plaques, with significant interference in the quality of life of the affected patients. OBJECTIVE: To evaluate the clinical and epidemiological characteristics of patients with psoriasis who are being followed up at the dermatology outpatient clinic at the University Hospital of the Federal University of Piauí. METHOD: A cross-sectional, observational, descriptive study was carried out in which questionnaires were applied to patients with Psoriasis who were followed up at the Dermatology outpatient clinic of HU-UFPI from April 2018 to August 2018. RESULTS: There were predominance of male patients, married, brown, with low level of instruction, income of just over a minimum wage, coming from the urban area of the interior of Piauí, with an average age of 47 years. The main associated comorbidities were hypertension, dyslipidemia and type 2 diabetes mellitus. Psoriatic arthritis was associated in a third of cases. Topical treatment with clobetasol was performed in 40% of patients and nearly one third of patients were using immunosuppressant methotrexate, while 20% of patients were on immunobiological use. No phototherapy treatment is performed at this hospital.
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Sociedade Brasileira de Dermatologia. Consenso brasileiro de Psoríase 2012: guias de avaliação e tratamento. Sociedade Brasileira de Dermatologia. 2 ed. Rio de Janeiro: 2012. [acesso em 11 nov 2018]. Disponível em: http://formsus.datasus.gov.br/novoimgarq/24326/4057388_345331.pdf
Michalek, I.M.; Loring , B.; John, S.M. A systematic review of worldwide epidemiology of psoriasis. J Eur Acad Dermatol Venereol [internet]. 2017 [acesso em 11 nov 2018] ; 31:(2)205-212. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.13854
Rachakonda, T.D., Schupp, C.W., Armstrong. A.W. Psoriasis prevalence among adults in the United States. Journal of the American Academy of Dermatology. [internet] 2014 [acesso em 08 nov 2018]; 70:(3)512-516. Disponível em: https://www.jaad.org/article/S0190-9622(13)01268-1/fulltext
, Van der Walt JM, Ashcroft DM, Flohr C, Naldi L, Nijste T, Augustin M. The global state of psoriasis disease epidemiology: a workshop report. Br J Dermatol. [internet]. 2017 [acesso em 08 nov 2018]; 177(1):4-7. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/bjd.15610
Ghosh A, Panda S. Recent understanding of the etiopathogenesis of psoriasis. Indian Paediatr Dermatol. [internet]. 2017 [acesso em 08 nov 2018]; 18:(1)1-8. Disponível em: http://www.ijpd.in/article.asp?issn=2319-7250;year=2017;volume=18;issue=1;spage=1;epage=8;aulast=Ghosh
Carlin CS, Feldman SR, Krueger JG, Menter A, Krueger GG. A 50% reduction in the Psoriasis Area and Severity Index (PASI 50) is a clinically significant endpoint in the assessment of psoriasis. Journal of the American Academy of Dermatology. [internet]. 2004 [acesso em 08 nov 2018]; 50(6)859–866. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S0190962203033231
Menter A, Korman NJ, Elmets CA, Feldman SR, Gelfand JM, et al. Guidelines of care for the management of psoriasis and psoriatic arthritis Section 6. Guidelines of care for the treatment of psoriasis and psoriatic arthritis: Case-based presentations and evidence-based conclusions. Journal of the American Academy of Dermatology. [internet]. 2011 [acesso em 08 nov 2018]; 65: 137-174. Disponível em: https://www.jaad.org/article/S0190-9622(03)03323-1/fulltext
Comissão Nacional de Incorporação de Tecnologias no SUS (CONITEC). Protocolo Clínico e Diretrizes Terapêuticas: Psoríase. Portaria SAS/MS nº 1.229; 2013.
Romiti R, Amone M, Menter A, Miot HA. Prevalence of psoriasis in Brazil – a geographical survey. International Journal of Dermatology. [internet] 2017. [acesso em 08 nov 2018]; 56: (8)167–168. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/ijd.13604
Pompeu VMA. Prevalência das doenças dermatológicas em um Hospital Universitário no Estado do Piauí - Brasil. Teresina: Hospital Universitário (HU-UFPI), 2017. Trabalho de Conclusão de Residência Médica em Dermatologia.
Hagg D, Sundstrom A, Eriksson M, Schmitt-Egenolf M. Severity of Psoriasis Differs Between Men and Women: A Study of the Clinical Outcome Measure Psoriasis Area and Severity Index (PASI) in 5438 Swedish Register Patients. Am J Clin Dermatol. [internet] 2017. [acesso em 08 nov 2018]; 18:(4)583–590. Disponível em: https://link.springer.com/article/10.1007%2Fs40257-017-0274-0
Quiroz-Vergara JC, Morales-Sánchez MA , Castillo-Rojas G ,López-Vidal Y, Peralta-Pedrero ML, Jurado-Santa Cruz F et al. Late diagnosis of psoriasis: Reasons and consequences. Gaceta Médica de México. [internet] 2017 [acesso em 08 nov 2018]; 153:305-31. Disponível em: https://www.anmm.org.mx/GMM/2017/n3_english/3942AX171_153_2017_UK3_305-312.pdf
Sarac G, Koca TT, Baglan T. A brief summary of clinical types of psoriasis. North Clin Istanb. [internet] 2016 [acesso em 08 nov 2018]; 3(1): 79–82. Disponível em: cbo.net.br/novo/classe-medica/seriecbo.php
Duarte GV, Porto-L, Oliveira MFP. Psoriasis: classical and emerging comorbidities. An Bras Dermatol. [internet] 2015. [acesso em 08 nov 2018] 90:(1)9–20. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000100009&lng=en&tlng=en
Lobo LAC, Canuto R, Dias-da-Costa JS, Pattussi MP. Tendência temporal da prevalência de hipertensão arterial sistêmica no Brasil. Caderno de Saúde Pública. [internet]. 2017 [acesso em 05 jan 2019]; 33: (6)1-14. Disponível em: http://www.scielo.br/pdf/csp/v33n6/1678-4464-csp-33-06-e00035316.pdf
Flor LS, Campos MR. Prevalência de diabetes mellitus e fatores associados na população adulta brasileira: evidências de um inquérito de base populacional. Rev Bras Epidemiol. [internet]. 2017 [acesso em 05 jan 2019]; 20:(1)16-29. Disponível em: http://www.scielo.br/pdf/rbepid/v20n1/1980-5497-rbepid-20-01-00016.pdf
Armstrong AW, Harskamp CT, Armstrong EJ. Psoriasis and metabolic syndrome: a systematic review and meta-analysis of observational studies. J Am Acad Dermatol. [internet] 2013. [acesso em 08 nov 2018]; 68(4):654-662. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S0190-9622(12)00898-5
Carneiro JN, Paula AP, Martins, A. Artrite psoriásica em pacientes com psoríase: avaliação de características clínicas e epidemiológicas em 133 pacientes atendidos no Hospital Universitário de Brasília. An. Bras. Dermatol. [internet] 2012. [acesso em 08 nov 2018]; 87(4):539-544. Disponível em: http://www.scielo.br/scielo.php?pid=S0365-05962012000400003&script=sci_abstract&tlng=pt
Duarte GV, Porto-L, Oliveira MFP. Epidemiology and treatment of psoriasis: A brazilian perspective. Dove Press journal: Psoriasis: target and therapies.[internet] 2015. [acesso em 08 nov 2018]; 17:(5):55-64. Disponível em: https://www.dovepress.com/epidemiology-and-treatment-of-psoriasis-a-brazilian-perspective-peer-reviewed-article-PTT
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