RESUMO
A psoríase é uma condição dermatológica crônica e inflamatória que se manifesta por pápulas ou placas eritematosas na pele, sendo imunomediada e associada a fatores genéticos, ambientais, sociais e psicológicos. Inserida nas psicodermatoses, sua relação com eventos traumáticos e fatores psicossomáticos. A prevalência no Brasil é de 1,31%, com maior incidência no sexo feminino, relacionada a condições ambientais e predisposição. Foi realizado um relato de experiência da atuação da fisioterapia em um hospital público no interior de São Paulo em pacientes com psoríase, no qual pode associar a Psoriase a finalizações de ciclos ou percas e situações psicossomáticas, onde o individuo passa a se abster de participar de atividades e interações em grupo, o consumo de tabaco pode influenciar o processo de renovação celular, consequentemente o tempo de alta médica, é de grande importância a atuação do fisioterapeuta para as orientações do posicionamento adequado e a realização de exercícios que estimulem e auxiliem a cicatrização e o ganho de ADM. Conclui-se que a abordagem terapêutica deve ser multidisciplinar, portanto, não deve se restringir apenas aos aspectos fisiopatológicos, mas também considerar a dimensão física, psicológica e social
Psoriasis is a chronic and inflammatory dermatological condition that manifests itself as erythematous papules or plaques on the skin, being immune-mediated and associated with genetic, environmental, social and psychological factors. Inserted in psychodermatoses, their relationship with traumatic events and psychosomatic factors. The prevalence in Brazil is 1.31%, with a higher incidence in females, related to environmental conditions and predisposition. An experience report was carried out on the performance of physiotherapy in a public hospital in the interior of São Paulo on patients with psoriasis, which can associate Psoriasis with completion of cycles or losses and psychosomatic situations, where the individual starts to abstain from participating in group activities and interactions, tobacco consumption can influence the cell renewal process, consequently the time of medical discharge. The importance of the physiotherapist's intervention is highlighted, providing guidance on appropriate positioning and implementing exercises that stimulate healing and promote gain in range of motion. It is concluded that the therapeutic approach must be multidisciplinary, therefore, it must not be restricted only to pathophysiological aspects, but also consider the physical, psychological and social dimensions.
Assuntos
Psoríase/reabilitação , Pacientes , Psoríase/psicologia , DermatopatiasRESUMO
A maneira como o paciente compreende sua doença é fundamental para que desenvolva maneiras de lidar com seu adoecimento. Este estudo tem como objetivo analisar as representações psíquicas do paciente com psoríase, que compreende seu universo simbólico através do qual ele dá sentido as suas experiências, verificando de que maneira tais concepções influenciam no seu tratamento. Para isso, foi realizado um estudo de caso, e atrvés de uma entrevista semi-estruturada, foram abordadas as percepções da paciente diante dos diferentes momentos do processso de adoecimento e o percurso do seu tratamento, as quais foram analisadas de acordo com a metodologia da pesquisa clínico-qualitativa e com o referencial teórico psicanalitico.
Assuntos
Humanos , Masculino , Feminino , Psoríase/complicações , Psoríase/diagnóstico , Psoríase/fisiopatologia , Psoríase/reabilitação , Psoríase/terapiaRESUMO
Psoriasis is a chronic skin disease that affects millions of people throughout the world. Even though cutaneous signs and symptoms are the most common clinical manifestations, the nails can be involved in up to 50% of cases, and their involvement remains an important yet often overlooked aspect of the disease. There is a broad spectrum of nail dystrophies associated with psoriasis, ranging from the common pitting and loosening of the nail plate to the less frequent discoloration and splinter hemorrhages seen in the nail bed. This article discusses the normal anatomy and embryology of the nail unit as well as the current understanding of the pathogenesis of the disease. It also provides an extensive review of the existing literature with respect to psoriatic nail therapy. Although there have been many recent advances in the treatment of the cutaneous form of the disease-most notably in the field of immunotherapies-the options for nail psoriasis are far more limited. While a number of treatment alternatives currently exist for nail disease, the general paucity of clear evidence regarding these choices often makes it difficult to select the most efficient, safe, and optimal treatment for the patient. Even though the current literature has shown some support for the use of topical, intralesional, radiation, systemic, and combination therapies for nail psoriasis, the available studies lack sufficient power to extrapolate a standardized therapeutic regimen. Therefore, until better-documented evidence validating the treatment options emerges within the literature, clinicians and patients are left with a vague and relatively unproven approach to psoriatic nail disease.
Assuntos
Humanos , Doenças da Unha/complicações , Doenças da Unha/diagnóstico , Doenças da Unha/fisiopatologia , Doenças da Unha/reabilitação , Psoríase/diagnóstico , Psoríase/embriologia , Psoríase/patologia , Psoríase/reabilitação , Ciclosporina/síntese química , Ciclosporina/uso terapêuticoRESUMO
Psoriasis is a chronic inflammatory skin disease in which the signs vary from one patient to another and over time. Traditionally, physicians have used various parameters to assess the severity of the disease: percentage of body surface area covered, erythema, plaque thickness, degree of scaling and systemic symptoms such as arthritis. However, these clinical assessments alone do not accurately reflect the overall effect of the disease on patients' daily activities. Apart from the clinical severity of affected areas, psoriasis can also have a profound psychosocial impact on the patient's quality of life. This concept is multidimensional, encompassing the physical, social and psychological wellbeing of the person and is based on the patient's view of their condition.