Psoriasis: diagnóstico

Debe hacerse un examen completo de la piel que incluya la inspección de ciertas áreas como las uñas, el cuero cabelludo, las rodillas, los codos, la hendidura interglútea y los genitales. En los casos donde se observa una presentación no típica de la enfermedad puede ser necesario realizar una biopsia de la piel.

Además, debe tenerse en cuenta la historia del paciente, con el fin de establecer antecedentes familiares de psoriasis, posibles desencadenantes de la enfermedad y si hay síntomas musculoesqueléticos que sugieran una artritis psoriásica.

Referencias

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2. González-Parra, S., & Daudén, E. (2019). Psoriasis and Depression: The Role of Inflammation. Actas dermo-sifiliograficas, 110(1), 12–19. https://doi.org/10.1016/j.ad.2018.05.009

3. Griffiths, C., Armstrong, A. W., Gudjonsson, J. E., & Barker, J. (2021). Psoriasis. Lancet (London, England), 397(10281), 1301–1315. https://doi.org/10.1016/S0140- 6736(20)32549-6

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8. Raychaudhuri, S. K., Maverakis, E., & Raychaudhuri, S. P. (2014). Diagnosis and classification of psoriasis. Autoimmunity reviews, 13(4-5), 490–495. https://doi.org/10.1016/j.autrev.2014.01.008

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10. Gooderham, M. J., Van Voorhees, A. S., & Lebwohl, M. G. (2019). An update on generalized pustular psoriasis. Expert review of clinical immunology, 15(9), 907–919. https://doi.org/10.1080/1744666X.2019.1648209

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19. Webmd. Is Psoriasis Contagious?. [internet]. Disponible en: https://www.webmd.com/skin-problems-and-treatments/psoriasis/is-psoriasiscontagious#1

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21. Tziotzios, C., Lee, J., Brier, T., Saito, R., Hsu, C. K., Bhargava, K., Stefanato, C. M., Fenton, D. A., & McGrath, J. A. (2018). Lichen planus and lichenoid dermatoses: Clinical overview and molecular basis. Journal of the American Academy of Dermatology, 79(5), 789–804. https://doi.org/10.1016/j.jaad.2018.02.010

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23. Parc de Salut Mar. Tratamientos biológico para la psoriasis [Internet]. Disponible en: https://www.parcdesalutmar.cat/es/dermatologia/cures-tractaments/tractamentsbiologics/

24. Amat-Samaranch, V., & Puig, L. (2020). Safety of calcipotriene and betamethasone dipropionate foam for the treatment of psoriasis. Expert opinion on drug safety, 19(4), 423–432. https://doi.org/10.1080/14740338.2020.1749594

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27. PR Vademecum. Ácido salicílico [Internet]. Disponible en: https://ar.prvademecum.com/principio-activo/salic%C3%ADlico-%C3%A1cido-131/

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Información revisada por Dra. Carina Simionato, M.N. 97392.