Perfil metabólico nutricional, formas clínicas y pronóstico de la psoriasis en el Hospital Universitario de Guayaquil en el período 2010 al 2016
Fecha
2016
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Antecedentes: Distintos síndromes metabólicos se han visto relacionados de manera algo inexplicable con la psoriasis con variantes clínicas que es una enfermedad con un lapso crónico, común, invalidante, estigmatizante, compleja, multisistémica, y de etiología aún desconocida, multifactorial, no tiene una sola causa, y esta puede ser genética y hereditaria y a su vez asociada a patologías a fin que afecta principalmente al sistema tegumentario, alterando la calidad de vida y la psique del paciente. Ecuador no posee cifras e índices exactos sobre esta patología, contando con pocos estudios que brinden características epidemiológicas cercanas en su incidencia y pronóstico. El Hospital Universitario de Guayaquil es un hospital de según nivel de gran desarrollo social en el país, siendo una institución con alta demandas de consultas en pacientes con patologías metabólicas asociadas a enfermedades dermatológicas, aun así no se conocen los factores que inciden en la calidad de vida y desarrollo de los pacientes con psoriasis. Objetivo: Determinar la asociación de síndromes metabólicos y formas clínicas en pacientes psoriásicos y también establecer el índice de calidad de vida y pronóstico de los mismos, atendidos en el servicio de consulta externa de dermatología en el Hospital Universitario de Guayaquil entre el período 2010 a 2015. Metodología: Se realizó un estudio descriptivo de corte retrospectivo que incluyó todas las consultas dermatológicas en esta institución durante el período 2010 a 2015. Análisis Estadístico: Se han estudiado las más comunes patologías metabólicas con sus variantes clínicas y perfil poblacional, además los hallazgos del estudio se presentaron empleando frecuencias simples, índices y porcentajes. Resultados: Durante los años 2010 a 2015, que es el período de estudio se han diagnosticado 2199 casos, el grupo de edad más afectado es de 18 a 65 años, con un 42%, siendo una afectación similar entre hombre y mujeres. Se ha demostrado que hay una alteración en la calidad de vida de los pacientes que la padecen en un 98%. Sólo el 2% no sufre ninguna alteración en la calidad de vida. El 92% de los pacientes se han sentido de algunas maneras avergonzadas por su condición. El 90% presenta algún síntoma de molestia.
Conclusiones: Las enfermedades metabólicas tienen su asociación a la psoriasis con una gran variabilidad clínica, esta es una enfermedad que altera es estilo y la calidad de vida de los pacientes que la padecen y pronóstico. Un gran porcentaje a lo largo de su vida ha presentado algún síntoma de molestia o ha interferido en la vida social o personal del paciente.
Background: Different metabolic syndromes have been related so unexplainable with psoriasis clinical variants which is a disease with a chronic, common, debilitating, stigmatizing, complex, multisystem period, and still unknown, multifactorial etiology, it has no single cause, and this may be genetic and hereditary and in turn associated pathologies so that mainly affects the integumentary system, altering the quality of life and the patient's psyche. Ecuador does not have exact figures and indices of this disease, with few studies that provide close epidemiological characteristics in incidence and prognosis. The University Hospital of Guayaquil is a hospital according to the level of great social development in the country, being an institution with high demands for consultations in patients with metabolic diseases associated with skin diseases, yet the factors affecting quality are not known life and development of psoriasis patients. Objective: To determine the association of metabolic syndrome and clinical forms in psoriatic patients and also set the rate of quality of life and prognosis of them treated at the outpatient department of dermatology at the University Hospital of Guayaquil between the period 2010-2015. Methodology: A descriptive retrospective cohort study that included all dermatological consultations in this institution during the period 2010-2015 was performed. Statistical analysis: We have studied the most common metabolic diseases with clinical and population profile variants, plus the findings of the study were presented using simple frequencies, ratios and percentages. Results: During the years 2010-2015, which is the study period, 2199 cases were diagnosed, the most affected age group is 18 to 65 years, with 42%, with a similar involvement between men and women. It has been shown that there is a change in the quality of life of patients suffering 98%. Only 2% undergoes no change in the quality of life. 92% of patients have felt in some ways embarrassed by their condition. 90% have symptoms of discomfort. Conclusions: The metabolic syndrome have asociation with Psoriasis clinical variability, this is a disease that alters is style and quality of life of patients who suffer. A large percentage throughout his life has developed any symptoms of discomfort or interfered with social or personal life of the patient.
Background: Different metabolic syndromes have been related so unexplainable with psoriasis clinical variants which is a disease with a chronic, common, debilitating, stigmatizing, complex, multisystem period, and still unknown, multifactorial etiology, it has no single cause, and this may be genetic and hereditary and in turn associated pathologies so that mainly affects the integumentary system, altering the quality of life and the patient's psyche. Ecuador does not have exact figures and indices of this disease, with few studies that provide close epidemiological characteristics in incidence and prognosis. The University Hospital of Guayaquil is a hospital according to the level of great social development in the country, being an institution with high demands for consultations in patients with metabolic diseases associated with skin diseases, yet the factors affecting quality are not known life and development of psoriasis patients. Objective: To determine the association of metabolic syndrome and clinical forms in psoriatic patients and also set the rate of quality of life and prognosis of them treated at the outpatient department of dermatology at the University Hospital of Guayaquil between the period 2010-2015. Methodology: A descriptive retrospective cohort study that included all dermatological consultations in this institution during the period 2010-2015 was performed. Statistical analysis: We have studied the most common metabolic diseases with clinical and population profile variants, plus the findings of the study were presented using simple frequencies, ratios and percentages. Results: During the years 2010-2015, which is the study period, 2199 cases were diagnosed, the most affected age group is 18 to 65 years, with 42%, with a similar involvement between men and women. It has been shown that there is a change in the quality of life of patients suffering 98%. Only 2% undergoes no change in the quality of life. 92% of patients have felt in some ways embarrassed by their condition. 90% have symptoms of discomfort. Conclusions: The metabolic syndrome have asociation with Psoriasis clinical variability, this is a disease that alters is style and quality of life of patients who suffer. A large percentage throughout his life has developed any symptoms of discomfort or interfered with social or personal life of the patient.
Descripción
PDF
Palabras clave
Perfil metabólico, Perfil nutricional, Psoriasis, Estudios retrospectivos, Epidemiología descriptiva, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador