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銀屑病的初始管理的建議

2013-10-13 11:22 閱讀:1118 來源:愛愛醫(yī)資源網(wǎng) 責(zé)任編輯:愛愛醫(yī)資源
[導(dǎo)讀] 《銀屑病的初始管理的建議》內(nèi)容預(yù)覽: Psoriasisaffects12%ofthepopulationoftheUnitedKingdom;thereisoftenapositivefamilyhistory.Mostcasesaremild Thedegreeofpsychologicalandsocialdisabilitythataccompaniespsoriasisiscommonlyunderestimatedbythem

《銀屑病的初始管理的建議》內(nèi)容預(yù)覽:

Psoriasisaffects1–2%ofthepopulationoftheUnitedKingdom;thereisoftenapositivefamilyhistory.Mostcasesaremild
Thedegreeofpsychologicalandsocialdisabilitythataccompaniespsoriasisiscommonlyunderestimatedbythemedicalprofessionandthiscanresultinsuboptimalcare
Thereisnocureforpsoriasis,althoughthereareeffectivesuppressivetreatmentsaimedatinducingaremissionormakingtheamountofpsoriasistolerabletothepatient
Forthemajorityofpatients,psoriasisfollowsachroniccourse,interspersedwithperiodsofremission.Relapsesaredifficulttopredict
Thephysicianshouldmakethepatientawareofthepossibletherapeuticoptions,includingthesimplestavailabletherapiesandtheoptionthattreatmentmaynotbenecessary
Thepatient’sperceptionofhisorherdisabilitywilloftendictatetheneedfortreatment
Tobeabletoadvisethepatientonsuitabletherapies,thephysicianneedstoknowthesites,extentandseverityofthepsoriasis
Treatmentmaydependonthepatient’sage,sex,occupation,personality,generalhealth,understandingandresources
Mostpatientswithmildormoderateplaquepsoriasiscanbetreatedinprimarycareusingtopicaltherapies
Ifthedecisionismadetorefer(see‘referral’)treatmentshouldusuallybeinitiatedwhileawaitingaclinicappointment
Mostpatientswithuncomplicatedpsoriasiswillonlyrequirereferralintheinstanceoftreatmentfailure

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