PSORIASIS
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Transcript of PSORIASIS
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CONCEPTO PATRONES CLINICOS HALLAZGOS FISICOS RELACIONADOS PB. LABORATORIO DIAGNOSTICO DIFERENCIAL TRATAMIENTO
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ENFERMEDAD INFLAMATORIA CUTENEA CRONICA
ENFERMED UNIVERSAL INCIDENCIA EUROPA 2-3% PREVALENCIA 0.1-3% IGUAL FRECUENCIA HOMBRES Y
MUJERES EDAD INICIO 15-30 AÑOS
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ETIOLOGIA PATOGENIA BASE GENETICA (FACT AMBIENTALES)
ALT DIFERENCIACION Y CRECIMIENTO EPIDERMICO
ANOMALIAS INMUNITARIAS, BIOQUIMICAS Y VASCULARES
RELACION CON FUNCION SNC
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PLACA ERITEMATOSA, DESCAMATIVA ERUPCION SIMETRICA FENOMENO DE KOEBNER (RESPUESTA
ISOMORFICA) PRESENTACION/SEGUIMIENTO:
› AGUDA-CRONICA› EVOLUCION-RECAIDAS
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PS VULGAR (PLACAS) PS GOTAS (ERUPTIVA) PS PEQUEÑAS PLACAS PS INVERTIDA PS ERITRODERMICA PS PUSTULOSA SEBOPSORIASIS PS DEL PAÑAL PS LINEAL
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LEVE LEVE/MODERADA MODERADA MODERADA/SEVERA SEVERA ERITRODERMIA
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ALT UNGUEALES 40%, PsA
LENGUA GEOGRAFICA
ARTRITIS PSORIASICA (PsA) 40%
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EXAMEN HISTOPATOLOGICO DISMINUCION ALBUMINA SERICA
(FORMAS GRAVES) PERFIL LIPIDICO ALTERADO, RCV,SD
METABOLICO AC URICO ELEVADO, A.GOTOSA MARCADORES DE INFLAMACION
SISTEMICA: PCR, MacrogbALFA2, VSG, IgA, AMILOIDOSIS 2ª.
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PS VULGAR:› ECCEMA NUMULAR› LINFOMA CUTANEO DE CEL T› TIÑA CORPORAL› SIEMPRE DESCARTAR:
ENF BOWEN/CA.ESCAMOSO IN SITU ENF PAGET EXTRAMAMARIA
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PS GOTAS:› PITIRIASIS ROSADA› PITIRIASIS LIQUENOIDE CRONICA› LIQUEN PLANO› SIEMPRE DESCARTAR:
SIFILIS SECUNDARIA
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PS ERITRODERMICA:› ERITRODERMIA POR FARMACOS› ECCEMA› LCCT/SD SEZARY› PITIRIASIS RUBRA PILARIS
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PS PUSTULOSA:› IMPETIGO› CANDIDIASIS SUPERFICIAL› SD DE ARTRITIS REACTIVA› FOLICULITIS SUPERFICIAL› PUSTULOSIS EXANTEMATICA
GENERALIZADA
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TOPICOS-SISTEMICOS EXTENSION SEVERIDAD TIPO DE PACIENTE SEGURIDAD A LARGO PLAZO
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CORTICOIDES ANALOGOS VIT D TAZAROTENO (RETINOIDE) TACROLIMUS/PIMECROLIMUS EMOLIENTES QUERATOLITICOS OTROS
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TOPICOS:› CORTICOIDES
EFECTIVOS A CORTO PLAZO EJE HP-HF(NIÑOS), ATROFIA, ESTRIAS
TAQUIFILAXIA USO LARGO PLAZO > COLATERALES CATEGORIA C EMBARAZO
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ANALOGOS VIT D:› CALCIPOTRIOL, CALCITRIOL, TACALCITOL› AUMENTO EFICACIA JUNTO CTC TOPICO› IRRITACION OCASIONAL, RARO
HIPERCALCEMIA› BIEN TOLERADO› USO PROLONGADO› CATEGORIA C EMBARAZO
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TAZAROTENO:› APLICAR POR LA NOCHE› AUMENTO EFICACIA JUNTO CTC› IRRITACION PIEL › CONTRAINDICADO EN EMBARAZO
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TACROLIMUS/PIMECROLIMUS› PS FACIAL Y FLEXURAS› SENSACION QUEMAZON› PUBLICACIONES DESARROLLO LINFOMA?› CATEGORIA C EMBARAZO
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ANTRALINA (DITRANOL) ALQUITRAN DE HULLA EMOLIENTES AC SALICILICO 5, 10, 20 UREA 10, 20 (30,40)
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FOTOTERAPIA:› UVA/PSORSLENOS› UVB BANDA ESTRECHA› LASER DE EXCIMERO MONOCROMATICO› TERAPIA CLIMATICA
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METOTREXATO ACITETRINO CICLOSPORINA A TRATAMIENTOS BIOLOGICOS:
› ANTI-TNF: ETANERCEPT, ADALIMUMAB, INFLIXIMAB
› ANTI-IL12, IL 23: USTEKINUMAB
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PS LEVE/MODERADO:› BETAMETASONA/CALCIPOTRIOL› CTC + AC SALICILICO:
BETAMETASONA/SALICILICO. POM/SOL MOMETASONA/SALICILICO. POM FLUPAMETASONA SALICILICO. POM
› CALCIPOTRIOL, CALCITRIOL,TACALCITOL› CORTICOIDES DE ALTA Y MUY ALTA
POTENCIA
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QUERATOLITICOS: SALICILICOS/UREA EMOLIENTES ESPECIFICAS PARA
PSORIASIS HIGIENE ADECUADA ATENDER A ASPECTOS DE CALIDAD DE
VIDA
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GRACIAS