EPIDEMIOLOGICAL AND THERAPEUTIC ISSUES OF PSORIATIC DISEASE

V.H. Kravchenko, Y. Yemchenko, A. Kravchenko, A. Dashchuk, M. Dudchenko, V.I. Kamieniev
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Abstract

We conducted an epidemiological analysis of the incidence of psoriasis in the world and Ukraine and examined the reasons for its permanent spread. The data on the incidence of psoriasis in certain regions of Ukraine were analyzed, testifying to the significant prevalence of this dermatosis, despite the lack of strict registration of diseases by region. The treatment of psoriatic disease, especially its complicated forms, is currently characterized by significant difficulties and does not provide a long-term remission. Therefore, the treatment of such patients must be carried out at specialized dermatovenerological institutions, which appropriate personnel, material conditions and special medical equipment (bacteriological, biochemical laboratories, X-ray office, highly qualified doctors, PUVA-therapy installations, solariums, etc.). On the basis of the obtained data, we outlined the main tasks of the dermatovenerological branch of our country in overcoming this difficult situation. In order to carry out decisive actions to improve the work in the fight against psoriatic disease and its consequences, it is necessary to establish accounting and reporting at dermatological institutions of municipal and private structures regarding morbidity. It is necessary to create a clear plan of measures in order to detect, treat and prevent the development of complications of dermatosis as early as possible. With the participation of the Ukrainian Association of Dermatovenereologists and Cosmetologists (UALDVC), an algorithm and protocols for the treatment of patients with various clinical types and forms of the disease should be developed, taking into account the latest national and international scientific achievements. Only the joint efforts of the professional medical association of dermatologists and a significant part of the medical community (pediatricians, cardiologists, endocrinologists, immunologists) under the leadership of the National Health Service and the Ministry of Healthcare of Ukraine can overcome the problem, because the epidemiological and therapeutic issues of psoriatic disease are not exclusively dermatological problems.
银屑病的流行病学和治疗问题
我们对世界和乌克兰的牛皮癣发病率进行了流行病学分析,并检查了其永久传播的原因。对乌克兰某些地区牛皮癣发病率的数据进行了分析,证明尽管没有按地区进行严格的疾病登记,但这种皮肤病的发病率很高。银屑病的治疗,特别是其复杂形式,目前的特点是困难重重,不能提供长期缓解。因此,这类患者的治疗必须在专门的皮肤性病学机构进行,这些机构有适当的人员、物质条件和特殊的医疗设备(细菌学、生化实验室、x光室、高素质的医生、puva治疗装置、日光浴室等)。根据所获得的数据,我们概述了我国皮肤性病学分支在克服这一困难情况方面的主要任务。为了采取果断行动,改进防治银屑病及其后果的工作,有必要在市政和私营机构的皮肤科机构建立关于发病率的会计和报告制度。为了尽早发现、治疗和预防皮肤病并发症的发展,有必要制定明确的措施计划。在乌克兰皮肤性病学家和美容师协会(UALDVC)的参与下,应考虑到最新的国家和国际科学成就,制定治疗各种临床类型和疾病形式的患者的算法和方案。只有在国家卫生局和乌克兰卫生部的领导下,皮肤病专家专业医学协会和医学界相当一部分人(儿科医生、心脏病专家、内分泌专家、免疫学家)共同努力,才能克服这一问题,因为银屑病的流行病学和治疗问题不完全是皮肤病问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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