THE ROLE OF THE FAMILY DOCTOR IN THE MANAGEMENT OF PATIENTS WITH PSORIASIS

Abstract

Psoriasis is a common multifactorial, immunoassociated disease. Approximately one-third of patients have the disease in a recurrent manner and have a moderate or severe course. In addition to dermatological manifestations and lesions of the musculoskeletal system systemic manifestations and certain comorbid conditions are often observed in psoriasis: diabetes mellitus, hypertension, obesity and others. A patient with psoriasis falls into the professional field of interest of doctors in the following specialties: family doctor, dermatologist, rheumatologist, traumatologist, endocrinologist, cardiologist. At the present phase of reforming of the health care system, in our opinion, the regulation of medical-diagnostic measures for GPs is especially relevant. The article presents in detail the route and management of a patient with psoriasis, psoriatic arthritis. Patients should be consulted annually by their GP, which includes documenting the severity of the disease using the DLQI scale, screening for depression, assessing cardiovascular risk, assessing joint symptoms, optimizing local therapy, evaluating the need for referral to a secondary care facility. Active intervention is needed to improve patients' quality of life and reduce the probability of psychosocial consequences. The problem of psoriasis is an relevant medical, social and economic challenge in Ukraine. Undoubtedly, сonsidering the systemic nature of psoriatic disease and comorbidities, a personalized and multidisciplinary approach is required. Forehanded diagnostic, treatment measures, as well as collaborations with related professionals by family doctors determine the prognosis for the health and quality of life of a patients with psoriasis.