Brazilian Consensus on Psoriasis 2020 and Treatment Algorithm of the Brazilian Society of Dermatology

Psoriasis in teledermatology: analysis of the 2016‒2020 period in Santa Catarina

“… 4 Among the psoriasis diagnoses of the assessed period, concomitant obesity was observed in 35.6% (n = 1,209) of them. Individuals with psoriasis also had higher prevalence rates of smoking and alcohol consumption than the general population, 24 a fact observed in the study when comparing the cases with a final diagnosis of psoriasis with those only suspected but not confirmed.…”

“…Comorbidities such as dyslipidemia, DM and SAH are also related to psoriasis, with prevalence rates estimated at 20.4%, 11.7% and 26.9%, respectively; 4 , 24 however, they were lower among the cases of psoriasis diagnosed in the present study: 10.5% (n = 373), 10.3% (n = 367) and 25.3% (n = 903). Therefore, it is necessary to encourage lifestyle changes (cessation of smoking and alcohol consumption, physical exercise and a balanced diet) in the clinical management of psoriasis, aiming to contribute to disease control.…”

“…22 It is also observed that patients with undiagnosed active psoriasis tend to be male and have a lower level of schooling. 23 Additionally, in Brazil, the prevalence of psoriasis is estimated to be different between the sexes: 24 1.15% of women and 1.47% of men.…”

“…The pathogenic potential of the inflammatory mediators involved in psoriasis goes beyond the skin lesions and affects the body as a whole, which determines a state of systemic inflammation 29 and the development of comorbidities. Obesity is highly incident and prevalent in patients with psoriasis, in addition to being related to greater disease severity; 24 its prevalence is estimated to be 25.6%. 4 Among the psoriasis diagnoses of the assessed period, concomitant obesity was observed in 35.6% (n = 1,209) of them.…”

“…HIV infection is a recognized risk factor for the development of psoriasis 24 and was found in 0.4% (n = 16) of diagnosed cases in the period. Moreover, it is important to pay attention to the presence of hepatitis in patients with psoriasis, as liver function can be worsened by hepatotoxic systemic treatments or reactivated infection by immunosuppressants, both with potentially severe outcomes.…”