Psoriasis and Psoriasis Rheumatism

Do not ignore psoriasis as a skin disease, it is actually an Immune System disease!!!

Although the exact cause is unknown, psoriasis is suspected to be caused by immune, genetic and environmental factors affecting approximately 125 million people around the world. affects the person. It is an immune system disease that has systematic effects on the body, is not limited to the skin, and should not be neglected. When symptoms of any disease are suspected, a specialist should be consulted immediately. It should not be forgotten that one of the most important factors in the treatment of a disease is early diagnosis.

Psoriasis is popularly known as psoriasis, it is characterized by rashes with redness, peeling and white flaking on the skin, but psoriasis is a skin disease that is only a cosmetic problem. It is not. Psoriasis is caused by an attack by the body's own immune system targeting the skin, which is why it is defined as an immune system (autoimmune) disease. Psoriasis is a chronic and complex skin disease that has a genetic background. Psoriasis is caused by the body's own immune system targeting and attacking the skin, so it is also defined as an immune system disease. In psoriasis, in addition to the skin, the joints and spine may also be attacked by the immune system, resulting in the development of inflammatory rheumatism of the joints and spine.

Beyond the skin and joints, the connection of psoriasis to systemic diseases has been proven by many scientific studies in the last 10 years. Defined as Metabolic Syndrome, which occurs when cardiovascular risk factors are combined, it occurs twice as frequently in psoriasis patients compared to the general population. Therefore, conditions such as high cholesterol, blood pressure, excess fat in the blood (triglycerides), diabetes and pre-diabetes (insulin resistance) are more common in psoriasis. While each of these risk factors associated with psoriasis increases the risk of developing heart disease, in many studies the chronic inflammation and inflammatory state caused by psoriasis also increases this risk. The factors create a synergistic effect with each other, increasing the development of Coronary Artery/Cardiovascular disease by 2.5 times. In scientific studies, it has been proven that systematic treatment methods, especially some "anti-inflammatory" drugs prescribed by a rheumatologist for rheumatism, reduce the rates of heart attack and coronary heart disease in a statistically significant way.

In addition, in psoriasis patients, inflammatory bowel disease, cancer, Health problems such as fatty liver and depression are also more common. It is known as the diseases that most negatively affect mental health; Psoriasis Studies conducted in America showed that 96% of psoriasis patients were disturbed by their appearance, 36% had accompanying sleep disorders, and 40% lived isolated from society. Most importantly, it is noteworthy that 20% of psoriasis patients have suicidal thoughts.

TREATMENT

 For all these reasons, psoriasis is now a trend all over the world. It is thought that the disease is increasingly more than just a skin disease and that it is not appropriate to assign all treatment to a dermatologist alone due to possible systematic attitudes. The medical community and health institutions around the world have now thought that psoriasis (skin rheumatism and other systemic involvements) can be better treated with teamwork and a "multidisciplinary" approach. In the past, psoriasis consisted of seeing a dermatologist for skin lesions and a Rheumatologist for rheumatism, but studies have shown that three-quarters of psoriasis patients are not satisfied with their treatments and one-third cannot find any effect in their treatments. It is now thought that controlling the risk of treatment methods and systemic diseases together with different branches (for example, specialists such as cardiologists, physical therapy and rehabilitation specialists, family physicians, dietitians) will bring the best results to the patient. The importance of working with a rheumatologist in giving the most appropriate (classical and newest) treatments to the psoriasis patient at the right time is increasing, because in patients with moderate-severe psoriasis and psoriasis rheumatism, the issue is no longer related to the skin and joint attitude, but primarily the underlying immune system disorder. p; With proper treatment, it is “controlled from the source”.

 

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