Psoriasis is a very common multisystem disease, observed in 125 million people in the world and approximately 750,000 in our country, and can affect mainly the skin but also other organs. Although it can occur at any age, it most commonly begins towards the end of the 20s, and the second most frequently occurs during menopause in women. It is a chronic disease that does not discriminate between men and women, has no known cause, begins with triggering factors based on genetic predisposition, and progresses with attacks and periods of well-being. Triggering factors include stress, traumas, upper respiratory tract or urinary tract infections, some medications, alcohol and cigarettes, and obesity. The symptoms are rashes that are bright red in color, have dandruff that falls off easily, are sharply defined, can be of various sizes, and can affect every part of the body. Although it most commonly affects the scalp; It covers the outer surfaces of the knees, elbows, arms and legs, the waist area and the hip area. Psoriasis can affect nails and joints as well as the skin. It may cause pitting, yellowing and thickening in the nails. When it affects the joints, it causes serious joint disorders, causes rheumatic disease symptoms such as morning stiffness and pain, and negatively affects the patient's quality of life. In recent studies, it has been observed that psoriasis is not only a disease affecting the skin and its appendages, but also a systemic disease. Psoriasis patients tend to gain weight in the long term, gain fat in the waist area, and become obese; It has been found to cause metabolic disorders such as increased blood fat levels and cardiovascular diseases. For all these reasons, the treatment approach in psoriasis patients should be multidisciplinary and dermatology-rheumatology or physical medicine and rehabilitation-cardiology departments should cooperate. Dermatological treatments include topical corticosteroid ointments, vitamin D analogues, tar ointments, urea in mild cases, depending on the patient's current complaints and the extent of the lesions. Moisturizers containing moisturizers are used. In patients with more widespread involvement, systemic treatments such as oral tablets, skin injections or intravenous serum, or sunlight treatments, which we call phototherapy, are applied. Dermatologists' treatment and follow-up of psoriasis Its aim is to eliminate the patient's symptoms, ensure the continuation of his or her well-being, improve our patient's quality of life and keep his adaptation to social life at a high level.
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