Don’t believe in ＂secret recipe＂ in treating psoriasis.

　　Guangzhou Daily News (all-media reporter Wang Jing correspondent Luo Ting, Yang Shangshang) Psoriasis, commonly known as "psoriasis", is a chronic inflammatory skin disease that is easy to recur. The reporter learned from the "Guide to Diagnosis and Treatment of Psoriasis in China" that it is estimated that there are at least 10 million psoriasis patients in China. Experts remind that some advertisements claim to cure psoriasis, so don’t blindly believe it. Although psoriasis can’t be cured, it can be controlled and stabilized through regular, safe and personalized standardized treatment. More and more biological agents are on the market, which also provides more choices for patients.

　　China at least.

　　There are 10 million patients with psoriasis.

　　Psoriasis can occur at any age, and there is no obvious gender difference. However, young people aged 20 to 30 are more likely to be targeted by psoriasis.

　　In 2008, an epidemiological survey of psoriasis in six provinces and cities in China showed that the prevalence rate of psoriasis in six cities was 0.47%, so it was estimated that there were more than 6 million patients with psoriasis in China. Professor Shi Yuling, director of the dermatology department of the Tenth People’s Hospital affiliated to Tongji University and director of the Institute of Psoriasis of Tongji University Medical College, said that experts from the Psoriasis Professional Committee of the Dermatology Branch of the Chinese Medical Association agreed that with the increasing incidence, it is estimated that there are at least 10 million psoriasis patients in China at present.

　　"Psoriasis has become a very common skin disease like eczema and urticaria." Shi Yuling said that infection is the most common cause of psoriasis. In addition, drinking, smoking, drugs and mental factors can all induce psoriasis.

　　Don’t believe in the guide, believe in traveling doctors?

　　When the heart hurts the liver!

　　"Psoriasis is a skin disease that makes doctors and patients very big." Talking about the treatment of psoriasis, Professor Zhang Xibao, director of the Institute of Dermatology of Guangzhou Medical University and chief special expert of Guangzhou Institute of Dermatology and Prevention, admitted that there is no radical cure for psoriasis at present, and its treatment purpose is mainly to control symptoms and improve the quality of life of patients.

　　Local therapy, physical therapy and systemic therapy … … How to choose many treatment methods? According to Zhang Xibao, according to the guidelines for the treatment of psoriasis in China (2018 Simplified Edition), the treatment of psoriasis should be standardized, safe and individualized according to the specific conditions of patients, with mild external treatment as the main treatment, and systemic treatment for moderate and severe cases. Patients with poor therapeutic effect on traditional systemic drugs can appropriately choose targeted biological agents for treatment.

　　Many patients with psoriasis are struggling to find a radical cure, and even blindly believe in the so-called ancestral secret recipe in the mouth of Jianghu doctors. "Don’t trust the traveling doctor, and don’t listen to the unrealistic idea of a temporary cure." Shi Yuling pointed out that drug abuse and blindly listening to advertisements are common misunderstandings in the treatment of psoriasis, which can not cure psoriasis, but may damage health.

　　According to Shi Yuling’s clinical observation, nearly half of the patients she contacted had had irregular treatment before. "Psoriasis itself is not fatal, but if it is not treated properly, the side effects may be fatal. Some patients have heard that psoriasis can be cured somewhere, without considering the side effects. When they come to the hospital, their liver function is already in a mess. "

　　Skin lesion area is greater than 10%

　　Consider using biological agents.

　　In recent years, more and more biological agents are on the market, which provides more choices for psoriasis patients. Which patients can use it? Is the curative effect really that good?

　　Shi Yuling introduced that in the treatment of psoriasis, the indications of biological agents are mainly moderate and severe psoriasis patients with skin lesions greater than 10%. "It is difficult for psoriasis patients with skin lesions greater than 10% to solve the problem only by using external drugs. We suggest systematic treatment. When the traditional system is not effective, biological agents can be considered, especially for young patients. "

　　However, not all psoriasis patients who need to use biological agents can use biological agents. Due to the high cost, the utilization rate of biological agents in the clinical treatment of psoriasis is not high at present. It is understood that the annual cost of using biological agents is about 50,000 to 80,000 yuan.

　　Shi Yuling reminded that the safe and rational use of biological agents is also particularly important. Before using biological agents, it is very important to screen patients with infection, tuberculosis and hepatitis, and regular follow-up should be carried out during the use to exclude infectious diseases such as hepatitis and tuberculosis.

　　"With so many good drugs, it is also a question whether patients are willing to use them." Professor Zeng Fanqin, the chief physician of dermatology at Sun Yat-sen Memorial Hospital of Sun Yat-sen University, pointed out that patient compliance is the main challenge in the treatment of psoriasis, and it is also a common problem in the world.

　　Psoriasis is not only a skin disease, but also a systemic disease. Because of the long course of disease, psoriasis needs long-term disease management, and many patients will be accompanied by different degrees of negative emotions, which will also affect the condition to some extent. Zeng Fanqin believes that the compliance of patients with psoriasis can be improved through patient education, doctor-patient communication and individualized effective treatment.