Examinando por Autor "Gutiérrez Avila, Denisse Melissa"
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- ÍtemAcceso AbiertoFactores de riesgo, diagnóstico y tratamiento de la psoriasis del cuero cabelludo. Revisión sistemática(Universidad Católica de Cuenca., 2024) Gutiérrez Avila, Denisse Melissa; Peláez Vélez , Luzmila Carolina; 1104379126Background: Psoriasis is a chronic autoimmune skin condition characterized by scaly, whitish or silvery, shiny, erythematous, and pruritic plaques, with the scalp being one of the most commonly affected areas. Its management in clinical practice is challenging due to its resistance to treatment and tendency to recur. Objectives: To describe the risk factors that influence the appearance of scalp psoriasis, and the diagnostic methods and updated treatments of this pathology. Design: A systematic review was conducted. Methods: Eligible studies were identified in the PubMed digital database by applying the filter of the last five years. The terms searched were “scalp psoriasis” and “psoriasis del cuero cabelludo.” The articles were screened according to title, abstract, and content for selection. Results: Forty sources were included (intervention articles, literature review, and case reports), considering the inclusion criteria for further analysis. Discussion: The predominant risk factors for developing scalp psoriatic lesions include family history, sun exposure, stress, and medications, such as adalimumab and hydroxychloroquine. According to the reviewed sources, the diagnosis should involve anamnesis, physical examination, dermoscopy, and biopsy. Recommended treatments include topical medications (corticosteroids), systemic therapies (methotrexate), phototherapy, and biologic drugs (brodalumab). Keywords: psoriasis, scalp, trichoscopy, phototherapy