From skin symptoms to anxiety and depression… “Treat early and actively and avoid skin irritation.”
psoriasis
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(Seoul = Yonhap News) Reporter Kim Gil-won = Psoriasis is a disease in which multiple layers of dandruff-like dead skin cells grow all over the skin. The color is often silvery white, and the shape is expressed as scales or ringworm.
The cause of psoriasis is not yet clear, but it is reported to be due to an innate immune system imbalance. Some immune cells become abnormally activated and secrete various inflammatory substances, stimulating keratinocytes to proliferate.
In addition to environmental influences, skin trauma such as tattoos, infection, cold and dry climate, stress, and certain medications are known to be factors that worsen or cause psoriasis.
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According to the Korean Psoriasis Society, psoriasis is estimated to have a prevalence of about 1-2% in Korea.
According to the Health Insurance Review and Assessment Service’s statistics on diseases of national interest, the number of patients receiving hospital treatment for psoriasis reached 156,801 annually (as of 2023). Among these, patients in their 20s to 50s who were actively socially active accounted for 67% (105,763 people).
◇ Various symptoms such as dead skin cells, itching, rash, and swelling… Decreased quality of life due to surrounding gaze
In psoriasis, the area where the rash occurs is covered with white dead skin cells, and the lesion tends to grow as multiple rashes combine. It is common for red spots with clear boundaries to appear first on the elbows, knees, buttocks, and scalp, and then become covered with silver-white scales.
It’s so itchy that it falls off like dandruff when you scratch it with your hands or take off your clothes, and the symptoms often get worse when it gets cold like these days. When symptoms occur on exposed skin, patients are very stressed and their quality of life is greatly reduced.
In fact, according to the results of a recent survey conducted by the Korean Psoriasis Association on 232 psoriasis patients in Korea, the symptoms experienced by patients include flaking (90%), itching (65%), skin rash (50%), and blisters and edema (13%). %), etc. In addition, the most common areas where these symptoms appeared were arms and legs (75%), torso (66%), scalp (60%), hands and feet (40%), and face (25%).
The patients’ psoriasis severity was found to be mild in 42%, moderate in 18%, and severe in 14%.
However, the pain that psoriasis patients experience is not only due to symptoms occurring throughout the body.
71% of psoriasis patients answered that the attention of others reduces their quality of life. The number of patients who complained of anxiety, depression, and limitations in social activities due to psoriasis was 65% and 55%, respectively.
Psoriasis Association President Kim Seong-gi said on the 23rd, “Psoriasis has different forms, severity of lesions, presence of complications, and risk of occurrence for each patient, so various treatment options are used throughout life, but there is still a significant unmet need,” and “Give up treatment.” “It is because of this background that the number of patients who rely on complementary or alternative therapies reaches 30%,” he pointed out.
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◇ It can worsen into psoriatic arthritis… “You must carefully observe systemic symptoms.”
Psoriasis may worsen into psoriatic arthritis over time.
Psoriatic arthritis is observed in 10 to 30% of psoriasis patients, and symptoms of asymmetrical pain and stiffness or swelling in the joints of the extremities of the limbs are common.
If this type of arthritis lasts for a long time, serious deformation may occur in the joints of the fingers or toes, and sometimes it may invade the spinal joints and cause pain. The physical and mental pain the patient experiences at this time is indescribable.
In a study in the United States, it was found that about 70% of all psoriatic arthritis patients showed psoriasis symptoms for about 7 to 12 years before developing psoriatic arthritis.
There is also analysis that psoriatic arthritis increases the risk of developing cardiovascular diseases such as high blood pressure, diabetes, and hyperlipidemia.
This is because the substances that cause inflammation circulate through the blood vessels throughout the body along the blood and irritate the blood vessel walls. Substances that can cause arteriosclerosis accumulate on the walls of irritated blood vessels.
Therefore, it is advisable for psoriasis patients to pay attention to whether their joints are swollen or accompanied by joint pain and ask their doctor during treatment. Only then can psoriatic arthritis be diagnosed without being missed.
Professor Kwon Soon-hyo of the Department of Dermatology at Kangdong Kyung Hee University Hospital said, “Once psoriatic arthritis develops, it can gradually cause movement disorders due to joint deformation and damage, so it must be detected and treated early.” He added, “Generally, if the symptoms are mild, it is treated with non-steroidal anti-inflammatory drugs, but if the symptoms are mild, “In severe cases, it can cause damage to the joints, so immunosuppressants and biological agents may be used,” he said.
Fingers of a patient with ‘psoriatic arthritis’ [연합뉴스 자료사진]
◇ Psoriasis Society presents new severity criteria… Avoid drinking, smoking, and skin irritation
Since psoriasis is an immunological disease, it is difficult to completely prevent recurrence. Therefore, the treatment goal is to improve the lesion through continuous management and maintain it for a long time.
Treatment methods include topical treatment with medication, phototherapy with exposure to light, systemic treatment with medication, and complex treatment that combines several treatments.
These days, patients’ expectations are growing as biological agents with improved treatment effectiveness are introduced.
The Psoriasis Society recently followed suit and proposed new severity standards and treatment goals for psoriasis.
Instead of reducing the number of psoriasis severity scores, the key to this treatment standard is to include psoriasis in special areas (scalp, nails, soles of hands, soles, genitals, etc.) that have a significant impact on the patient’s quality of life in determining the severity.
Professor Bang Cheol-hwan of the Department of Dermatology at Seoul St. Mary’s Hospital of the Catholic University of Korea said, “We have clarified the severity criteria by specifying the area and severity of psoriasis involvement in special areas,” adding, “Through this, we have established a basis for using biological drugs or new psoriasis drugs for patients suffering from psoriasis in special areas.” “It has meaning,” he explained.
Experts advise that to prevent psoriasis from worsening, you should refrain from drinking or smoking and avoid actions that hurt or irritate the skin. This includes tattooing or scrubbing too hard.
Especially when taking a bath, you should absolutely avoid forcibly peeling off psoriasis skin with your hands or a towel.
Professor Kim Hye-seong of the Department of Dermatology at Incheon St. Mary’s Hospital of the Catholic University of Korea said, “If psoriasis is treated with biological agents in the early stages, you can live without skin lesions to the point where you forget that you are a patient.” He added, “If you maintain a regular lifestyle and get a timely diagnosis from a dermatologist, “Treatment is important,” he urged.
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2024/11/23 07:00 Sent
How does psoriasis impact more than just physical health, and how can we create a more supportive and understanding environment for individuals living with this condition?
This is a great article illustrating the impact of psoriasis on individuals and emphasizing the need for awareness and improved treatment. Here are some open-ended questions designed to spark discussion and diverse viewpoints, organized thematically:
**Impact of Psoriasis:**
* **Beyond the physical:** How do you think the social stigma surrounding psoriasis adds to the burden of the disease? How can we encourage more open and supportive conversations about skin conditions?
* **The invisible struggles:** The article mentions anxiety and depression experienced by psoriasis patients. How can we better support the mental health needs of those living with chronic skin conditions?
* **Quality of life:** In what ways does psoriasis impact daily life beyond the visible symptoms? How can individuals with psoriasis find strategies to manage their condition and live fulfilling lives?
**Treatment and Management:**
* **Personalized approach:** The article highlights the diverse nature of psoriasis. How can healthcare professionals better tailor treatment plans to individual needs and preferences?
* **New treatment landscape:** The introduction of biological agents is mentioned as a positive development. What are the potential benefits and drawbacks of these treatments, and who might benefit most from them?
**Prevention and Public Awareness:**
* **Lifestyle factors:** While genetics play a role, lifestyle choices can influence psoriasis. What practical steps can be taken to mitigate triggers and manage symptoms?
* **Breaking down taboos:** How can we promote greater understanding and empathy for people living with psoriasis? What role can media, education, and advocacy play in changing attitudes?
**Emerging Trends and Research:**
* **Future directions:** What are some promising areas of research that could lead to new treatments or cures for psoriasis?
* **Global perspective:** How does the prevalence and impact of psoriasis vary across different cultures and populations? What challenges and opportunities exist in addressing this global health issue?
** For the Interview:**
* Divide the interview into thematic sections based on the questions above.
* Begin each section with an introduction summarizing the key topic.
* Use the open-ended questions to guide the conversation while allowing the interviewee to share their personal insights, experiences, and perspectives.
Remember, the goal is to have a meaningful and engaging discussion that sheds light on the various aspects of psoriasis and how we can better support those affected by it.