PSORIASIS IS NOT JUST A SKIN DISEASE, IT ALSO THREATENS THE HEART AND JOINTS

PSORIASIS IS NOT JUST A SKIN DISEASE, IT ALSO THREATENS THE HEART AND JOINTS

Dermatology Specialist Prof. Dr. Neslihan Şendur, drawing attention to the fact that psoriasis, commonly known as just a skin rash, is a chronic inflammatory process affecting the immune system, warned that untreated psoriasis can lead to cardiovascular diseases and permanent joint damage.

Psoriasis, commonly known as just a 'skin rash,' actually encompasses a chronic process that can affect the entire body, from the immune system to heart health. Stating that psoriasis is not contagious, Prof. Dr. Neslihan Şendur from the Dermatology Department warned that if left untreated, the disease can lead to permanent damage to the joints and predispose to cardiovascular diseases. Psoriasis, which manifests itself as silvery, shiny scales on the skin and gets its name from this appearance, affects the quality of life of millions of people worldwide. Prof. Dr. Neslihan Şendur, a Dermatology Specialist at Medicana International İzmir Hospital, stated that psoriasis is not just an aesthetic concern, but is considered a chronic 'inflammatory' signal from the body, from the inside out. Professor Neslihan Şendur stated that this disease, which affects the skin, scalp, and nails, can occur at any age from birth, but usually begins in young adulthood. Emphasizing that the exact cause of psoriasis is unknown but genetic factors play a significant role, Professor Şendur said, "Studies examining the genetic basis of the disease show that not a single gene, but multiple genes play a role in its development. Many factors trigger its onset or flare-up, including physical, chemical, and psychological traumas, various infections, stress, certain medications, sunlight, and climate change. In recent years, systemic problems such as obesity, diabetes, hypertension, and coronary heart disease have also been added to the list of important factors accompanying this process."

Professor Şendur stressed that psoriasis is not contagious and is not among genetic diseases because it is not transmitted through a specific gene. She noted that the most important trigger for the disease is stress. Şendur stated, "Stress is a significant factor that triggers and exacerbates psoriasis. Research shows that emotional factors are a crucial element in the development and worsening of psoriasis. Nutrition is a topic frequently discussed and inquired about by patients. A Mediterranean diet, Omega-3 fatty acids, fresh vegetables, and fruits are recommended foods. Due to the course and characteristics of the disease, it is necessary to avoid sugar, carbohydrates, alcohol, cigarettes, processed foods, and similar substances to control accompanying insulin resistance, hypertension, obesity, and cardiovascular diseases. Regular exercise and a Mediterranean diet support nutritional treatments and help control accompanying diseases."

Prof. Dr. Şendur also stated that there is no single prescription for the treatment of psoriasis. Neslihan Şendur continued: "There is no standard treatment for psoriasis. The chosen treatments vary depending on the patient's age, the type and extent of the disease, previous treatments, and comorbidities. Before determining treatment, many parameters are considered, from the patient's work schedule to their economic situation. Biological therapies have gained significant importance, especially in patients with long-term and widespread disease, impaired quality of life, and those who do not respond to other treatments. Furthermore, phototherapy (light therapy) remains a successful method, particularly in children, for patients who do not respond to topical medications or cannot receive systemic treatment. Psoriasis is not just a skin disease; if left untreated, it increases the risk of cardiovascular disease, diabetes, and metabolic syndrome. Additionally, psoriatic arthritis, which can develop in 5-30% of patients, can leave permanent and degenerative damage to the joints. Therefore, early diagnosis is vital." Referring to the climatic advantages of regions like Izmir, Şendur said, "Psoriasis is a disease affected by climate change. Humid and sunny climate characteristics like those of Izmir will be beneficial for patients. Sunlight and a sedentary, stress-free, calm lifestyle have positive effects on treatment."

PSORIASIS IS NOT JUST A SKIN DISEASE, IT ALSO THREATENS THE HEART AND JOINTS