PSORIAZIS

DOI: 10.7241/ourd.2022book.2_4

First Page (Prima pagina)

Psoriazis este diagnosticat la 1-3% din popula?ie; debutul în copilărie este raportat în 30-50% din cazuri, 2/3 din cazuri fiind forme familiale ?i, în 2-5% din cazuri debutul este înainte de vârsta de 2 ani [1]. Există multe date contradictorii referitoare la inciden?a ?i prevalen?a bolii în popula?ia pediatrică, majoritatea datelor fiind ob?inute din registre na?ionale declarative sau din rapoarte clinice. În Europa se apreciază că prevalen?a cumulată a psoriazisului înainte de vârsta de 18 ani variază între 0,5-0,7%; prevalen?a fiind de 0,37-0,55% la grupa de vârstă 0-10 ani, 1,01-1,37% la grupa de vârstă 10-18 ani [1]. Cazurile sunt mai numeroa-se în Europa decât în Asia sau Africa, iar în America cazurile de psoriazis predomină la copiii de origine europeană.
Din punct de vedere epidemiologic se disting 2 tipuri de psoriazis:
Psoriazis familial (tip I) caracterizat prin:
? debut precoce în primii ani de via?ă;
? anamneză familială pozitivă în 2/3 din cazuri;
? debut precoce la sexul feminin;
? poate fi element de diagnosticat suplimentar în cazurile incerte de diagnostic la copii.
Psoriazis sporadic (tip II) caracterizat prin:
? debut tardiv, în perioada adultă;
? anamneză familială pozitivă doar în 1/3 din cazuri;
? comorbidită?i precoce ?i numeroase.


Keywords

  • Psoriazis; Psoriazis în plăci; Psoriazis la nivelul scalpului; Psoriazis gutat; Psoriazis genital; Psoriazis la nivelul fe?ei; Psoriazis palmo-plantar; Onicopatia psoriazică; PUVA; Re-PUVA; Terapia biologică

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