Social isolation increased distress and aggravated psychological and psychiatric problems across the planet and, moreover, reverberated in chronic diseases such as psoriasis. Still with an unknown cause, it is believed that psoriasis is linked to a mutation of the T cell (present in the immune system and responsible for fighting viruses and bacteria), in which it mistakenly attacks healthy skin cells.
“The crises, characterized in their cutaneous form, mostly by red, thick lesions and with white scales, can be triggered by several factors, such as infections, smoking, medications, endocrine and immunological factors, and, often, emotional factors”, explains doctor Luiz Alberto Bomjardim Pôrto, a dermatologist member of the Doctoralia platform.
According to the expert, the relationship between a worsening of the disease and situations of loneliness, anxiety or grief experienced during the Covid-19 epidemic is real. “There are reports of people who opened psoriasis after the psychological impact of the death of a relative by Covid-19, for example.”
An important factor in controlling the problem is the consistency of the treatment. There is still no cure for psoriasis, but with the proper attention, it is possible to control the symptoms or even not show any signs of the disease for a long time.
For mild cases, with little impairment of quality of life, the use of topical medications with anti-inflammatory and moisturizing products may be sufficient. In moderate to severe cases, which can compromise joints and present more severe wounds, systemic treatment is necessary, using phototherapy, immunosuppressive drugs, oral and immunobiological retinoids.
Sun exposure is a great ally for patients in crisis, but due to isolation it may have been neglected. “Many people stopped taking their daily doses of sun for fear of leaving home, especially at the beginning. The ideal is that they seek a few minutes of solar radiation a day, even if it is through the window ”, guides Pôrto.
It is not yet known whether people with psoriasis have any disadvantage compared to Covid-19, but it is something that has been studied. “It is extremely important that patients inform their dermatologists in case of coronavirus infection so that there is a reassessment of the clinical picture. Thus, we obtained more information about the convergence of these two diseases and improved the treatment in an increasingly effective way ”, concludes the dermatologist Luiz Pôrto.