PSORIASIS VULGARIS – case report

Psorijaza je kronično recidivirajuća upalna bolest kože od koje boluje 2-3% svjetskog pučanstva (oko 125 milijuna ljudi). Karakterizirana je pojavom ograničenih upalnih, crvenkastih, oštro ograničenih žarišta različite veličine, prekrivenih srebrenkasto – bjelkastim ljuskama na predilekcijskim mjestima (koljena, laktovi, šake, stopala, vlasište). Osim kože gotovo redovito su zhvaćeni i nokti. Na temelju kliničke slike razlikujemo dva oblika psorijaze, pustuloznu (oko 20%) i plak psorijazu (psoriasis vulgaris), koja je mnogo češća (oko 80%), a preko 90% ima kronični tijek što zahtijeva kontinuirano praćenje. Cilj liječenja individualan, kako bi se poboljšalo psihičko i fizičko stanje bolesnika koje izrazito utječe na kvalitetu života i na radnu sposobnost. U ovom radu je prikazana uloga liječnika obiteljske medicine u kontinuiranom praćenju ovih bolesnika.Psoriasis is a chronic relapsing inflammatory skin disease that affects approximately 2-3% of the population (about 125 million patients worldwide). It is characterized by the appearance of reddish, sharply limited inflammatory foci of different sizes, covered with silvery scales, at predilection sites (knees, elbows, hands, feet, scalp). In addition to skin the nails are almost always affected. Based on clinical features two forms of psoriasis are distinguished, pustular and plaque (psoriasis vulgaris). Around 80% of those patients are suffering from the plaque variety, and more than 90% have a chronic course that requires regular and continuous monitoring. The goal of treatment is individualized in order to improve the patient’s mental and physical condition, her/ his quality of life, and working ability. This paper describes the family physicians’ role in the longterm management of those patients