208例银屑病的临床分析

Clinical analysis of 208 psoriasis cases.

目的分析总结昆明地区银屑病患者在病因、临床表现、治疗等方面的情况,以提高临床诊疗水平。方法回顾性调查并分析2002～2003年昆明地区208例银屑病患者的各项临床情况。结果遗传、感染、药物等因素在寻常型银屑病的发病中作用较大,脓疱型及红皮症型的发病多与治疗不当有关;外用新型的皮质类固醇及维甲酸类制剂可取得较好的治疗效果。结论银屑病的临床表现多样,病因复杂,可能存在着地区差异,新一代药物的治疗前景广阔。

Objective To analyse the etiological factor, clinical situation and therapeutics of psoriasis in Kunming area and to promote the clinical level of diagnosis and therapy. Methods Retrospective studies was used to analyse the various situation of 208 patients with psoriasis in Kunming area from the year of 2002 to 2003. Results Some factors such as inheritance and infection and drug and so on play an important role in the onset of psoriasis vulgaris, and maybe incorrect therapy is the main agent to induce the appearance of psoriasis pustulosa and erythroderma psoriaticum, also, topical application of some new type of corticosteroid and retinoic acid is more effective than the old type. Conclusion Psoriasis has diverse clinical features and complicated etiology, and maybe there are some difference between different areas, and, the prospect of the new generation of drug for the treatment of psoriasis is hopeful.