The Significance and Management of Psoriasis

Abstract

Attention having been drawn to this branch of medicine, we might ask ourselves why the skin does not figure more significantly in our medical curriculum and training, in the facilities afforded for hospital and medical practice, and in research. The skin is the one part of the whole organism the physiological and pathological processes of which are clearly displayed to view, and, if careful observation is the basis of clinical practice and of research, here is a training-ground which cannot be equalled.Common sense would seem to urge that, not for the sake of dermatology as a specialty but for the better and easier understanding of medicine as a whole, the doctor in training should be taught to recognize the fundamentals of his subject in the skin. Nothing should happen in the skin which he cannot interpret in general medical terms, and every medical problem should be approached by way of the skin, which has so much to tell. This College will no doubt use its influence in deliberations on the medical curriculum and on hospital accommodation to improve the position of dermatology, which enjoys much less consideration and poorer facilities in.Britain and the Commonwealth than in most other countries. This is only part of the problem of the necessary reorientation of our views regarding the general and the special in medicine in the interests of the patient and for the training of students. It is necessary that men of ability should be attracted to work in dermatology and should reveal truths that lie hidden in the skin and that must bear significantly upon the whole of medicine.

Epidemiological-clinical Features of Psoriasis Vulgaris Patients at the Department of Dermato-Venereology in Banja Luka in the Period 1988–1995

“…In 1,366 psoriatics in Sri Lanka average age of females was 20 and of males 30 years [16]. In England in 1,346 patients, the average age of females was 11-15 years, of males 16-20 years [18], while in Malaysia in 203 psoriatics the average age for males and females was between 21 and 30 years [1]. The average age of PV patients in Novi Sad [19] was higher than in our research (42.2 years).…”

The Relevance of Salicylic Acid in the Treatment of Plaque Psoriasis with Dithranol Creams

“…Zinc oxide is one of the essential com ponents of Lassar's paste, the classical base for dithranol therapy [3], However, in other vehicles, such as paraffin, vaseline or creams, the preservative effect of salicylic acid has never been proven [4,5]. An en hancement of the penetration of other phar-maca has been demonstrated with salicylic acid in concentrations of 10% or more [6], Up to now such an effect has never been shown for the lower concentrations of sali cylic acid.…”

Topische Kombinationstherapien bei Psoriasis

“…Ingram vorgeschlagen. Das Ingram-Schema wird auch heute noch, allerdings meist modifiziert, im stationären oder teilstationären Bereich eingesetzt [12].…”