High capillary diameter in psoriatic plaques of the lower legs

Lacarrubba, Francesco; Verzì, Anna Elisa; Musumeci, Beatrice; Micali, Giuseppe

doi:10.1111/bjd.18733

Cited by 8 publications

(6 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Lacarruba et al stated that there is a higher mean capillary bush diameter in psoriatic plaques located on the lower limbs, reflecting increased vascular flow and thus, delaying the response and resistance to the incriminated therapy, although other factors, including stasis and hydrostatic pressure, may be considered 20 . Further studies are needed to support these findings; if confirmed, then the lower limbs may be included in difficult‐to‐treat areas, along with the nails, palmo‐plantar, genital, scalp, and intertriginous areas.…”

Section: Discussionmentioning

confidence: 99%

Assessment of vascular patterns during the treatment of psoriatic patients using narrow‐band ultraviolet B phototherapy by the dermoscope

Sayed

Lotfi

Hossam³

et al. 2023

Photoderm Photoimm Photomed

View full text Add to dashboard Cite

Background Phototherapy is a traditional treatment for psoriasis and patients using it for a long time may be exposed to cumulative toxicity, so dermatologists need continuously diagnostic tools that help in monitoring the disease progression. Objectives To detect dermoscopic changes with the improvement of skin in patients with chronic plaque psoriasis on narrow‐band ultraviolet B phototherapy and evaluate the role of dermoscopy in monitoring the patients. Methods Narrowband ultraviolet B phototherapy was prescribed to thirty (30) patients with chronic plaque psoriasis for three months according to their disease condition. Psoriasis area and severity index (PASI score) were calculated, and dermoscopic evaluation was done at the first visit (W0), after 6 weeks, and after 12 weeks of beginning the phototherapy. Results According to PASI score calculations, a significant correlation was found between changes in the vessel patterns and the improvement that occurred during the treatment sessions in psoriatic lesions, whereas the patients with globular blood vessels were significantly associated with weak clinical results. Conclusion Dermoscopy is a rapid, simple tool to predict the response of psoriatic patients to phototherapy using vascular pattern assessment.

show abstract

Section: Discussionmentioning

confidence: 99%

Assessment of vascular patterns during the treatment of psoriatic patients using narrow‐band ultraviolet B phototherapy by the dermoscope

Sayed

Lotfi

Hossam³

et al. 2023

Photoderm Photoimm Photomed

View full text Add to dashboard Cite

show abstract

“…However, it has been hypothesized that the inflammation leads to an increased tendency for edema, so that the healing of the inflammatory reaction is slowed by stasis. 13 The support of psoriasis healing by compression therapy has only been described casuistically. A patient with psoriasis on both extensor surfaces of the knees was fitted with a compressive knee brace for osteoarthritis.…”

Section: Compression Therapy For Inflammatory Dermatosesmentioning

confidence: 99%

“…The precise reason behind the impaired healing of psoriasis plaques on the lower legs is not yet fully understood. However, it has been hypothesized that the inflammation leads to an increased tendency for edema, so that the healing of the inflammatory reaction is slowed by stasis 13 . The support of psoriasis healing by compression therapy has only been described casuistically.…”

Section: Indications For Compression Therapymentioning

confidence: 99%

Compression therapy in dermatology

Dissemond

Protz

Stücker

2023

J Deutsche Derma Gesell

View full text Add to dashboard Cite

SummaryCompression therapy is a conservative therapy that can be used in many patients with dermatological conditions, especially those associated with edema. In addition to its well‐established use in venous and lymphatic disorders, there is increasing evidence that compression therapy supports the healing of inflammatory dermatoses. The presence of edema, regardless of its etiology, is an indication for the use of compression therapy.Nowadays, a variety of materials and treatment options are available for compression therapy, each with their own advantages and disadvantages. Often, compression therapy with low resting pressures is sufficient for effective therapy and is better tolerated by patients. The main contraindications to compression therapy are advanced peripheral arterial disease and decompensated heart failure.Individual factors and economic considerations should be taken into account when deciding on compression therapy with the patient. Patient self‐management should be encouraged whenever possible. This requires education and support tools.

show abstract

“…Diskutiert wird, dass es durch die Inflammation zu einer vermehrten Ödemneigung kommt, sodass die Abheilung der Entzündungsreaktion stasebedingt verlangsamt abläuft. 13 Die Unterstützung der Abheilung bei Psoriasis durch Kompressionstherapie wurde bislang lediglich kasuistisch beschrieben. Bei einer Psoriasis an beiden Streckseiten der Knie wurde aufgrund einer Osteoarthritis eine kompressive Kniebandage getragen.…”

Section: Kompressionstherapie Entzündlicher Dermatosenunclassified

“…Warum Psoriasis‐Plaques an den Unterschenkeln nur erschwert abheilen, ist nicht genau bekannt. Diskutiert wird, dass es durch die Inflammation zu einer vermehrten Ödemneigung kommt, sodass die Abheilung der Entzündungsreaktion stasebedingt verlangsamt abläuft 13 . Die Unterstützung der Abheilung bei Psoriasis durch Kompressionstherapie wurde bislang lediglich kasuistisch beschrieben.…”

Section: Indikationen Der Kompressionstherapieunclassified

Kompressionstherapie in der Dermatologie

Dissemond,

Protz,

Stücker

2023

J Deutsche Derma Gesell

View full text Add to dashboard Cite

ZusammenfassungDie Kompressionstherapie ist eine konservative Therapie, die bei vielen Patienten mit dermatologischen Krankheiten durchgeführt werden kann, insbesondere wenn diese mit Ödemen assoziiert sind. Neben den wissenschaftlich sehr gut belegten Indikationen bei venösen und lymphatischen Erkrankungen, gibt es auch zunehmend wissenschaftliche Hinweise, dass durch die Kompressionstherapie die Abheilung entzündlicher Dermatosen unterstützt wird. Wenn Ödeme vorliegen, handelt es sich, unabhängig von deren Genese, um einen Einsatz im Rahmen der Zulassung der Kompressionstherapie.Für die Kompressionstherapie stehen heute verschiedene Materialien und Versorgungsoptionen mit systemspezifischen Vor‐ und Nachteilen zur Verfügung. Oft ist eine Kompressionstherapie mit niedrigen Ruhedruckwerten für einen Therapieerfolg ausreichend und wird von den Patienten besser toleriert. Als wichtigste Kontraindikationen der Kompressionstherapie sind die fortgeschrittene periphere arterielle Verschlusskrankheit und die dekompensierte Herzinsuffizienz zu beachten.Bei der gemeinsam mit dem Patienten getroffenen Entscheidung für eine Kompressionstherapie, sollten individuelle Faktoren und wirtschaftliche Aspekte berücksichtigt werden. Wann immer möglich, ist ein Selbstmanagement des Patienten zu unterstützen. Hierfür sind Edukation und Hilfsmittel erforderlich.

show abstract

High capillary diameter in psoriatic plaques of the lower legs

Abstract: Linked Article: Hjuler et al. Br J Dermatol 2019; 181:332‐7

Cited by 8 publications

References 4 publications

Assessment of vascular patterns during the treatment of psoriatic patients using narrow‐band ultraviolet B phototherapy by the dermoscope

Assessment of vascular patterns during the treatment of psoriatic patients using narrow‐band ultraviolet B phototherapy by the dermoscope

Compression therapy in dermatology

Kompressionstherapie in der Dermatologie

Contact Info

Product

Resources

About