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演讲人:日期:银屑病的全英文目录CONTENTSIntroductiontoPsoriasisPathogenesisofPsoriasisDiagnosisofPsoriasisTreatmentOptionsforPsoriasisManagementStrategiesforPsoriasisConclusionandFuturePerspectives01IntroductiontoPsoriasisPsoriasisisachronic,immune-mediatedinflammatorydiseasethataffectstheskinDefinitionItistypicallycharacterizedbyred,scalypatchesontheskinthatcanbeitchy,paid,anddisplayingCharacteristicsPsoriasisresultsfromanoveractiveimmuneresponsethatcausesinflationandexceptionalskincellproductionPathophysiologyDefinitionandCharacteristics0102PlaquePsoriasisThemostcommonform,characterizedbyraised,redpatchescoveredwithsilverwhitescaleGuttatePsoriasisAlesscommonformthatappearsassmall,dotlikelesionsonthetorso,arms,andlegsInversePsoriasisEffectsskinfolds,suchasthearmpits,grooves,andunderthebread,appearingasbrightredlessonsPopularPsoriasisCharacterizedbywhiteimpulsessurroundedbyredskin,oftenonthepalmsofhandsandsolesoffeetErythrodermalPsoriasisAray,multipleformthatcauseswidespreadrednessandscalingovermostofthebody030405TypesandClassificationPsoriasiseffectsapproximately2-3%oftheworld'spopulation,withmenandwomenequallyaffectedEpidemiologyGeneticpredisposition,environmentaltriggers(suchasstress,infection,andcentralmedicine),andimmunesystemdysfunctionsRiskFactorsPsoriasisisoftenassociatedwithotherchronicdiseases,suchaspsychiatricarthritis,cardiovasculardisease,anddepressionComorbiditiesEpidemiologyandRiskFactorsPhysicalImpactPsoriasiscancausephysicaldiscomfort,pain,anddisabilityduetotheseverityandlocationoflessonsQualityofLifePsoriasiscansignificantlyimpactanindividual'squalityoflife,affectingtheirabilitytowork,socialize,andengageindailyactivitiesTreatmentBurdenThechronicnatureofpsychologyisoftenrequiredforongingtreatmentandmanagement,whichcanbetimeconsumingandcost-effectivePsychologicalImpactThevisiblenatureofpsychologycanleadtotransparency,socialisolation,andlowself-examinationImpactonQualityofLife02PathogenesisofPsoriasisGeneticrecommendationCertaingeneshavebeenidentifiedthatincreasestheriskofdevelopingpsychology,indicatingastronggeneticcomponentFamilyhistoryHavingafamilymemberwithpsoriasisissignificantlyincreasinganindividual'sriskofdevelopingtheconditionHLAassociationsCertainvariationsinthehumanLeukocyteantigen(HLA)complexhasbeenlinkedtopsoriasissusceptibilityGeneticBasis要点三T-cellactivationPsoriasisischaracterizedbytheactivationandpromotionofT-cells,whichreleasetokensthatpromoteinflation0102AutoimmuneresponseTheimmunesystemmistakenlyattacheshealthyskincells,leadingtothedevelopmentofpsychologicalissuesInflammatorymediatorsVariousinflammatorymediators,suchastumornecrosisfactoralpha(TNF)-α),Interleukins,andchemokines,playakeyroleinthepathogenesofpsychology03ImmuneSystemDysfunctionStressEmotionalorphysicalstresscantriggerorexaggeratepsychologicalflaresEffectsCertaininfections,suchasstreptococcalthroatinfections,havebeenlinkedtotheonsetorexcruciationsofpsoriasisTraumaSkintrauma,suchascuts,scrapes,orsunburns,cantriggerpsychologicalepisodesatthesiteofinjuryMedicationsCertaindiagnoses,suchasbetablockers,lithium,andantibiotics,havebeenassociatedwiththedevelopmentorworrisomeofpsychology01020304EnvironmentalTriggersEpidermalhyperplasiaPsoriasisischaracterizedbythickeningoftheepidermisduetoincreasedcelldivisionanddecreasedcelldeathVascularchangesDistillationandtorsionofbloodvesselsinthedermisleadtothetypicalrednessandscalingseeninpsychologicallessonsLeukocyteInfiltrationInflammatorycells,granularT-cellsandneutrophils,infiltratingtheepisodeanddermis,contributingtotheinflammatoryprocessandissuedamageseeninpsychologyPathophysiologicalMechanismsKeratinocyteactivationKeratinocytesinpsychologicallessonsproducecytokinesandchemokinesthatfurtheramplifytheimmuneresponseandinflammatoryprocessPathophysiologicalMechanisms03DiagnosisofPsoriasisSkinlessons01Typicalpsychologicalplays,commonlyredandscaly,mayappearonanypartofthebody,butcommonlyontheelbows,knots,scalp,andlowerbackNailchanges02Pitting,dissolution,andthickeningofthenailsmayoccurinsomepatientswithpsoriasisJointinvolvement03Incasesofpsychologicalarthritis,patientsmayexperiencejointpain,swinging,andstiffnessClinicalManifestationsDiagnosticcriteriaThediagnosisofpsychologyistypicallybasedonclinicalfindings,supportedbyadetailedpatienthistoryandphysicalexaminationDifferentialdiagnosisOtherskinconditionsthatmaypresentwithsimilarsymptomsincludingseborrheicdeductions,lichenplanus,andcuticularluserythmatosusDiagnosticCriteriaandDifferentialDiagnosisAlthoughthereisnospecificbloodtestforpsychology,routinebloodworkmaybeorderedtoruleoutotherconditionsorassessmentsforcomitiesLaboratorytestsIncaseswherepsychologicalarthritisissuspended,imagingstudiessuchasX-raysorMRIsmaybeperformedtoassessjointdamageImagingexaminationsLaboratoryTestsandImagingExaminationsTheseverityofpsoriasisistypicallyassessedbasedonthecontextandlocationofskinlesions,aswellastheimpactonthepatient'squalityoflifeSeverityassessmentThediagnosisforpsoriasisvariesdependingontheseverityoftheconditionandthepatient'sresponsetotreatmentAlthoughpsoriasisisachroniccondition,manypatientsexperienceperiodsofpunishmentwheresymptomsareminimalorabsentPrognosisSeverityAssessmentandPrognosis04TreatmentOptionsforPsoriasisTopicThemesDiscussinghowchangesindie,exercise,andstressmanagementcansupportpsoriasistreatmentRoleoflifestylemodificationsUnderstandingthedifferentapproachesavailableformanagingpsoriasisOverviewofpsoriasistreatmentsRecognizingthateachpatient'ssyndromeisuniqueandmayrequireatailedapproachImportanceofindividualizedtreatmentplansOralmedicineDescribingtheuseoforalmedicine,suchasmethodologyandcyclone,totreatpsychologyInjectiontherapiesExplaininghowinjectiontherapies,likebiology,worktotargetspecificpartsoftheimmunesystemtoreducepsychologysymptomsSideeffectsandmonitoringDiscussingthepotentialsideeffectsofsystemictherapiesandtheimportanceofregularmonitoringbyahealthcareprovider010203SystemicTherapyDescribingthedifferenttypesofbiologyavailablefortreatingpsoriasis,suchasTNFinhibitors,interleukininhibitors,andT-cellinhibitorsTypesofbiologyExplaininghowbiologytargetspecificpartsoftheimmunesystemtoreduceinflammationandimprovepsychologyissymptomsHowbiologyworkDiscussingtheadministrationofbiology,includinginjectiontechniques,doingschedules,andselfinjectionoptionsAdministrationanddoingBiologicalTherapyDescribingthedifferenttypesofphotographyusedtotreatpsychology,includingnarrowbandUVB,broadbandUVB,andPUVATypesofphotographyExplaininghowphotographyusesultravioletlighttoslowskincellproductionandreduceinflammationincosmeticsHowphotographyworksDiscussinghowphototherapycanbecombinedwithothertreatments,suchastopicalmedicineorsystemictherapies,toenhanceeffectivenessCombinationtherapyDescribingthepotentialsideeffectsofphotographyandimportantprecautionstotakebeforeandaftertreatmentSideeffectsandprecautionsPhototherapyandCombinationTherapy05ManagementStrategiesforPsoriasisProvidinginformationaboutpsychologyExplainingthenatureofthedisease,includingitschronicity,flares,andremovalsInstructingonproperskincareAdvisingpatientsonhowtokeeptheirskincleanandmotivatedtoreduceitchingandscalingDiscussingtreatmentoptionsReviewingthevarioustreatmentoptionsavailable,includingtopicmedicine,phototherapy,andsystemictherapiesPatientEducationandCounselingStressmanagementEncodingpatientstoidentifyandmanagestresstriggerstoreduceflareupsDiscussingthepotentialbenefitsofabalanceddietandtheroleofspecificnutrientsinmanagingpsychologyEnhancingregularexercisetoimproveoverallhealthandreducestresslevelsAdvisingpatientstoavoidknowntriggerssuchascervicalmedicine,infections,andexcessalcoholconsumptionDietandnutritionExerciseandphysicalactivityAvoidingtriggersLifestyleModificationsandSelfcareManagingitandpayProvidingstrategiestoacknowledgeitandpay,suchasusingcoldcompressesortakingantiinflationmedicineAdvisingpatientsonhowtopreventandtreatskininfections,whichcanexcorbateprostatitissymptomsOfferingtipstoimprovesleepquality,suchasestablishingaregularsleepscheduleandavoidingcoffeebeforebedtimePreventingskininfection

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