PSORIASIS, ETIOLOGY AND ITS PSYCHOLOGICAL ASPECTS
DOI:
https://doi.org/10.47820/recima21.v5i1.5958Keywords:
Psoriasis. Autoimmune disease. Treatment. Pathophysiology. Quality of life. Psychological management.Abstract
Psoriasis, an autoimmune dermatological disease defined by the presence of eczema, scaly and reddish lesions on the skin. This condition considerably influences the quality of life of sufferers due to the psychological and physical impact. The etiology of psoriasis is heterogeneous, involving genetic predisposition, dysregulation of the immune system, and environmental factors. This disease is mediated by the immune system, where an atypical activation of T lymphocytes occurs. The exacerbated immune response leads to the release of pro-inflammatory cytokines such as IL-17, IFN-γ, IL-6, TNF-α and IL-8 that promote the increase of keratinocytes and skin inflammation. Dendritic cells and T lymphocytes play a crucial role in the maintenance of plaques, helping for a continuous inflammatory cycle. Psoriasis can severely impair quality of life, impacting social interaction and performance at work and studies. Therefore, psychological health management is essential for the overall treatment of psoriasis. These treatments for psoriasis can change according to the severity of the disease and include: systemic drug treatments, topical corticosteroids, light therapy, and complementary therapies.
Downloads
References
Psoríase [Internet]. SBD. Available from: https://www.sbd.org.br/doencas/psoriase/
Tsoi LC, Spain SL, Knight J, Ellinghaus E, Stuart PE, Capon F, et al. Identification of 15 new psoriasis susceptibility loci highlights the role of innate immunity. Nature Genetics [Internet]. 2012 Nov 11 [cited 2019 Aug 4];44(12):1341–8. Available from: https://www.nature.com/articles/ng.2467 DOI: https://doi.org/10.1038/ng.2467
Senado Federal. Não é contagiosa porque tem origem genética e hereditária [Internet]. Senado Federal. [cited 2024 Jun 5]. Available from: https://www12.senado.leg.br/noticias/especiais/especial-cidadania/psoriase/nao-e-contagiosa-porque-tem-origem-genetica-e-hereditaria
Porto CC. Semiologia médica. 6a. ed. Porto Alegre: Grupo Gen - Guanabara Koogan; 2000.
Das S. Psoríase [Internet]. Manuais MSD edição para profissionais. Manuais MSD; 2021. Available from: https://www.msdmanuals.com/pt-br/profissional/dist%C3%BArbios-dermatol%C3%B3gicos/psor%C3%ADase-e-doen%C3%A7as-descamativas/psor%C3%ADase
Tipos de Psoríase [Internet]. Psoríase. Available from: https://psoriasebrasil.org.br/tipos-de-psoriase/
Das S. Psoríase [Internet]. Manual MSD Versão Saúde para a Família. Manuais MSD; 2023 [cited 2024 Jun 5]. Available from: https://www.msdmanuals.com/pt-br/casa/dist%C3%BArbios-da-pele/psor%C3%ADase-e-dist%C3%BArbios-descamativos/psor%C3%ADase#Sintomas_v6685078_pt-
Torres T, Bettencourt N. Psoriasis: The visible killer. Revista Portuguesa de Cardiologia [Internet]. 2014 Feb 1;33(2):95–9. Available from: https://www.sciencedirect.com/science/article/pii/S0870255114000031?via%3Dihub DOI: https://doi.org/10.1016/j.repc.2013.06.017
Silva K de S, Silva EAT da. Psoríase e sua relação com aspectos psicológicos, stress e eventos da vida. Estudos de Psicologia (Campinas). 2007 Jun;24(2):257–66. DOI: https://doi.org/10.1590/S0103-166X2007000200012
Dors J, Da Silva T, Müller M, Bonamigo R. Clinical, Epidemiological, Laboratory and Therapeutic Investigation 143 [Internet]. Available from: https://www.scielo.br/j/abd/a/SP95YTWQJpcLdpSXY9MKRXr/?format=pdf&lang=en
Romiti R, Magalhães RF, Duarte GV. Cumulative life course impairment in patients with dermatological diseases, with a focus on psoriasis. Anais Brasileiros De Dermatologia [Internet]. 2024 [cited 2024 Apr 13];99(2):269–76. Available from: https://pubmed.ncbi.nlm.nih.gov/38135557/. DOI: https://doi.org/10.1016/j.abd.2023.08.006
Ministério da Saúde. PCDT da Psoríase [Internet]. Available from: https://www.gov.br/conitec/ptbr/midias/consultas/relatorios/2021/20210615_relatorio_psoriase_cp_52.pdf.
Portal Saúde Direta® - Protocolos [Internet]. Saudedireta.com.br. 2015 [cited 2024 Jun 5]. Available from: https://www.saudedireta.com.br/protocolos.php?page=202
Biópsia de pele: como é feita, tipos e quando é indicada [Internet]. Tua Saúde. Available from: https://www.tuasaude.com/biopsia-de-pele/
Schleicher SM. Psoriasis. Clinics in Podiatric Medicine and Surgery. 2016 Jul;33(3):355–66. DOI: https://doi.org/10.1016/j.cpm.2016.02.004
Conheça os tratamentos mais eficazes para Psoríase [Internet]. Tua Saúde. 2023 [cited 2024 Jun 5]. Available from: https://www.tuasaude.com/tratamento-para-psoriase/.
Ärzteblatt DÄG Redaktion Deutsches. Psoriasis – New Insights Into Pathogenesis and Treatment (05.01.2009) [Internet]. Deutsches Ärzteblatt. [cited 2023 Feb 8]. Available from: https://www.aerzteblatt.de/int/archive/article/62941.
Reich K, Mrowietz U. Treatment goals in psoriasis. JDDG. 2007 Jul;5(7):566–74. DOI: https://doi.org/10.1111/j.1610-0387.2007.06343.x
Sanchez APG. Imunopatogênese da psoríase. Anais Brasileiros de Dermatologia [Internet]. 2010 Oct 1 [cited 2022 Jun 9];85:747–9. Available from: https://www.scielo.br/j/abd/a/jQKC3wrwd9LyY3dWSX44zjB/?lang=pt. DOI: https://doi.org/10.1590/S0365-05962010000500028
Burlando M, Russo R, Clapasson A, Carmisciano L, Stecca A, Cozzani E, et al. The HLA-Cw6 Dilemma: Is It Really an Outcome Predictor in Psoriasis Patients under Biologic Therapy? A Monocentric Retrospective Analysis. Journal of Clinical Medicine. 2020 Sep 28;9(10):3140. DOI: https://doi.org/10.3390/jcm9103140
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2024 RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218
This work is licensed under a Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECIMA21, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECIMA21 apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.