A man with psoriatic lesions in plaques and guttata

Vitorino Modesto Santos, Temistocles Sousa Barbosa Neto, David Lima Pedrosa, Yanna Pontes Prado Paulo Souza


Psoriasis is a chronic inflammatory condition of variable severity, which may occur in up to 11.8% of global population, and has significant effect on the quality of life of the affected individuals. Resources of primary health care attention are usually enough to control milder cases of disease. Severer cases cause psychosocial impact because of the visible lesions on the face, scalp, and nails. Th-1 and Th-17 pathways can play a role in the pathogenesis of the plaque and the guttate psoriasis; however, both phenotypes of plaque and guttate psoriasis can be concurrent in a same flare-up. Cardiovascular and rheumatologic involvement should be also evaluated by specialists; moreover, the increased morbidity and mortality that is related to cardiovascular causes, obesity, and diabetes. Time constraints and low awareness can play adverse role in primary care attention to patients with psoriasis; therefore, case reports may be of practical utility for health care workers

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