Psoriasis : estudio de pacientes con enfermedades asociadas, Hospital Regional II IESS Dr. Teodoro Maldonado Carbo 2011 - 2012
Fecha
2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Psoriasis enfermedad cutánea inflamatoria crónica, ocasiona deterioro importante de la calidad de vida de sus pacientes. Existe gran asociación con otro tipo de enfermedades como: Artritis reumatoidea, Inmunodepresión, Obesidad, Dislipidemia, Diabetes mellitus, Hipertensión arterial, que contribuyen significativamente al aumento de riesgo y morbimortalidad. La Dermatología observa numerosos casos de pacientes con psoriasis que han desarrollado y/o presentan riesgo hacia otras enfermedades. En el presente trabajo, se determinó la prevalencia de esas enfermedades y se las clasificó según frecuencia y grado de presentación. El estudio se realizó con una muestra de cien pacientes diagnosticados con psoriasis y enfermedad asociada del universo de pacientes atendidos Servicio de Dermatología del Hospital Regional II “Dr. Teodoro Maldonado Carbo”-I.E.S.S., durante un período de doce meses. Su objetivo fue el de obtener un panorama más claro acerca de la co-morbilidad, y determinar el tipo de enfermedades asociadas más frecuentes a la Psoriasis, mejorando su manejo relacionado con cada patología asociada. Se lo realizó en forma, Descriptiva, Observacional, con un diseño de investigación no experimental, trasversal de carácter retrospectivo. Los resultados nos arrojaron ligero predominio de pacientes de sexo masculino, el tipo de psoriasis vulgar (placas), localización predominante en codos, rodillas y cabeza respectivamente, así como una mayor relación con hipertensión arterial y artropatías, la mayoría de ellos reciben tratamiento para la psoriasis y la patología asociada. Esto nos da una visión clara de nuestra realidad local en relación al manejo aplicado Institucionalmente en éstos pacientes, misma que no es ajena a otros países, lo que nos permitirá orientar una atención responsable de los mismos.
Psoriasis chronic inflammatory skin disease, causes significant deterioration in the quality of life of their patients. There is a great association with other diseases such as rheumatoid arthritis, immunosuppression, obesity, dyslipidemia, diabetes mellitus, arterial hypertension, which contribute significantly to increased morbidity and mortality risk. Dermatology daily observed numerous cases of psoriasis patients who have developed and / or pose a risk to other diseases. For this reason, in this study we determined the prevalence of these diseases and are classified according to frequency and level of presentation. The study was conducted with a sample of one hundred patients diagnosed with psoriasis and associated disease of the universe of patients attended the Dermatology Department of Regional Hospital II "Dr. Teodoro Maldonado Carbo "-IESS, for a period of twelve months. Their goal was to obtain a clearer picture about the co-morbidity, and determine the type of diseases most frequently associated with psoriasis, so applying management protocols related to each associated pathology. It was made in the form, descriptive, observational, with non-experimental research design, retrospective transversal. The results we threw slight predominance of male patients, the type of psoriasis vulgaris (plaque), predominant location on elbows, knees and head respectively, and a closer relationship with hypertension and arthropathy, most of them treated for psoriasis and associated pathology. This gives us a clear view of our local situation regarding the management that has been applied Institutionally for this type of patients, it is not alien to studies in other countries, allowing us to focus attention on relevant and responsible management of these patients.
Psoriasis chronic inflammatory skin disease, causes significant deterioration in the quality of life of their patients. There is a great association with other diseases such as rheumatoid arthritis, immunosuppression, obesity, dyslipidemia, diabetes mellitus, arterial hypertension, which contribute significantly to increased morbidity and mortality risk. Dermatology daily observed numerous cases of psoriasis patients who have developed and / or pose a risk to other diseases. For this reason, in this study we determined the prevalence of these diseases and are classified according to frequency and level of presentation. The study was conducted with a sample of one hundred patients diagnosed with psoriasis and associated disease of the universe of patients attended the Dermatology Department of Regional Hospital II "Dr. Teodoro Maldonado Carbo "-IESS, for a period of twelve months. Their goal was to obtain a clearer picture about the co-morbidity, and determine the type of diseases most frequently associated with psoriasis, so applying management protocols related to each associated pathology. It was made in the form, descriptive, observational, with non-experimental research design, retrospective transversal. The results we threw slight predominance of male patients, the type of psoriasis vulgaris (plaque), predominant location on elbows, knees and head respectively, and a closer relationship with hypertension and arthropathy, most of them treated for psoriasis and associated pathology. This gives us a clear view of our local situation regarding the management that has been applied Institutionally for this type of patients, it is not alien to studies in other countries, allowing us to focus attention on relevant and responsible management of these patients.
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Psoriasis, Renovación celular, Artritis reumatoidea, Obesidad, Diabetes, Hipertensión, Epidemiología descriptiva, Estudios retrospectivos, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador