Russian Journal of Skin and Venereal DiseasesRussian Journal of Skin and Venereal DiseasesРоссийский журнал кожных и венерических болезней1560-95882412-9097Eco-Vector4293110.17816/dv42931ArticlesСтатьиResearch ArticleTHE CASE OF PSORIATIC ERYTHRODERMA AND SEVERE COMORBID PSORIATIC ARTHRITISCЛУЧАЙ ПСОРИАТИЧЕСКОЙ ЭРИТРОДЕРМИИ И ТЯЖЕЛОГО КОМОРБИДНОГО ПСОРИАТИЧЕСКОГО АРТРИТАOlisovaO. YuОлисоваО. ЮKocherginN. GКочергинН. ГBelousovaT. AБелоусоваТ. АNikuradzeVictoria O.НикурадзеВиктория Олеговна

postgraduate of the Department of skin and venereal diseases of I.M. Sechenov First Moscow State Medical University (Sechenov University). Moscow, 119435, Russian Federation

аспирант кафедры кожных и венерических болезней ФГБОУ ВО Первый Московский государственный университет им. И.М. Сеченoва Минздрава России, 119435, г. Москва, Россия

victorianikuradze@gmail.comGudovaV. VГудоваВ. ВDepartment of skin and venereal diseases of I.M. Sechenov First Moscow State Medical University (Sechenov University)Первый Московский государственный медицинский университет им. И.М. Сеченова15042019221-2VOL 22, NO1-2 (2019)ТОМ 22, №1-2 (2019)152324082020Copyright ©; 2019, Eco-VectorCopyright ©; 2019, ООО "Эко-Вектор"2019Eco-VectorООО "Эко-Вектор"https://rjsvd.com/1560-9588/article/view/42931

Early diagnosis of psoriatic arthritis (PsA) is necessary for timely treatment and prevention of the disease progression with destruction of the joints. In most patients, comorbid PsA develops many years after the debut of the skin process. Consequently, the main role in timely diagnosis of PsA is played by a dermatologist, who is able to identify its initial signs and refer the patient to a rheumatologist. Early initiation of systemic therapy with the use of modern biological agents for progressive psoriatic arthritis and severe psoriasis can prevent the development of irreversible disability.

Ранняя диагностика псориатического артрита (ПсА) необходима для своевременной терапии и предотвращения прогрессирования заболевания с разрушением суставов. У большинства больных коморбидный ПсА развивается спустя много лет со времени дебюта самого кожного процесса. Следовательно, основную роль в своевременной постановке диагноза ПсА играет дерматолог, способный выявить его начальные признаки и направить пациента к ревматологу. Раннее начало системной терапии с применением современных биологических препаратов при прогрессирующем ПсА и тяжёлом псориазе может предотвратить развитие необратимой инвалидизации.

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