Revisión
An Update on Scalp Psoriasis
Psoriasis del Cuero Cabelludo
J. Sola-Ortigosa
, M. Sánchez-Regaña, P. Umbert-Millet
Autor para correspondencia
Unidad de Psoriasis y Fototerapia. Servicio de Dermatología. Hospital Universitario Sagrado Corazón, Barcelona, Spain, Unidad Docente de la Universidad de Barcelona, Barcelona, Spain
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Hospital Universitario Sagrado Corazón, Barcelona, Spain, Unidad Docente de la Universidad de Barcelona, Barcelona, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: C/ París, 83-85, 5.<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">a</span></span> planta. 08029 Barcelona, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Psoriasis del Cuero Cabelludo" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2009-01-12" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84542" "palabras" => array:4 [ 0 => "psoriasis" 1 => "scalp" 2 => "topical treatment" 3 => "systemic therapy" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84541" "palabras" => array:4 [ 0 => "psoriasis" 1 => "cuero cabelludo" 2 => "tratamiento tópico" 3 => "tratamiento sistémico" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Between 50% and 80% of patients with psoriasis have involvement of the scalp. The clinical presentation of scalp psoriasis can be very varied, with disease severity ranging from mild to extremely severe. The disease may have a major psychological impact. Treatment should be tailored to each individual in order to achieve a good clinical response or blanching that lasts for as long as possible, with a safe and convenient regimen. Many different treatments have been tried: phototherapy, pulsed magnetic fields, Grenz rays, keratolytics, coal tar, antifungals, dithranol, retinoids, vitamin D analogues, corticosteroids, and systemic treatment. Ideally, for scalp psoriasis, treatment should be effective; applied in the form of a lotion, foam, or emulsion; require few applications per week; and have proven long-term safety. One such treatment is potent corticosteroids and vitamin D3 analogues in combination, which has a fast onset of action and proven longterm safety.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La psoriasis del cuero cabelludo afecta al 50-80% de los pacientes psoriásicos. Su presentación clínica puede ser muy variable: desde una enfermedad leve hasta formas muy graves. Esta condición puede provocar un gran impacto psicológico. El principal objetivo del tratamiento es individualizar el mismo en cada paciente, conseguir una buena respuesta clínica o el blanqueo mediante un tratamiento seguro y cómodo, con una respuesta lo más duradera posible. Se han usado múltiples tratamientos: fototerapia, campos magnéticos pulsátiles, rayos Grenz, queratolíticos, alquitrán de hulla, antifúngicos, ditranol, retinoides, análogos de la vitamina D, corticoesteroides y tratamiento sistémico. El perfil farmacológico ideal para tratar la psoriasis del cuero cabelludo es aquel que sea efectivo, de aplicación intermitente pocas veces por semana en forma de loción, espuma o emulsión y seguro a largo plazo, como la combinación de corticoesteroides potentes y análogos de la vitamina D3, con efecto rápido inicial y seguridad a largo plazo demostrada respectivamente.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:29 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Scalp psoriasis: a review of current topical treatment options" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K. Papp" 1 => "J. Berth-Jones" 2 => "K. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 11 | 17 | 28 |
| 2024 Octubre | 126 | 83 | 209 |
| 2024 Septiembre | 177 | 79 | 256 |
| 2024 Agosto | 107 | 122 | 229 |
| 2024 Julio | 74 | 91 | 165 |
| 2024 Junio | 70 | 82 | 152 |
| 2024 Mayo | 89 | 75 | 164 |
| 2024 Abril | 69 | 45 | 114 |
| 2024 Marzo | 66 | 64 | 130 |
| 2024 Febrero | 47 | 64 | 111 |
| 2024 Enero | 50 | 59 | 109 |
| 2023 Diciembre | 50 | 67 | 117 |
| 2023 Noviembre | 51 | 59 | 110 |
| 2023 Octubre | 57 | 63 | 120 |
| 2023 Septiembre | 45 | 54 | 99 |
| 2023 Agosto | 37 | 43 | 80 |
| 2023 Julio | 64 | 89 | 153 |
| 2023 Junio | 43 | 42 | 85 |
| 2023 Mayo | 48 | 52 | 100 |
| 2023 Abril | 30 | 51 | 81 |
| 2023 Marzo | 24 | 42 | 66 |
| 2023 Febrero | 25 | 44 | 69 |
| 2023 Enero | 28 | 56 | 84 |
| 2022 Diciembre | 29 | 59 | 88 |
| 2022 Noviembre | 20 | 49 | 69 |
| 2022 Octubre | 14 | 37 | 51 |
| 2022 Septiembre | 18 | 37 | 55 |
| 2022 Agosto | 11 | 46 | 57 |
| 2022 Julio | 9 | 50 | 59 |
| 2022 Junio | 11 | 47 | 58 |
| 2022 Mayo | 17 | 71 | 88 |
| 2022 Abril | 36 | 100 | 136 |
| 2022 Marzo | 34 | 102 | 136 |
| 2022 Febrero | 61 | 80 | 141 |
| 2022 Enero | 75 | 76 | 151 |
| 2021 Diciembre | 30 | 67 | 97 |
| 2021 Noviembre | 32 | 76 | 108 |
| 2021 Octubre | 34 | 74 | 108 |
| 2021 Septiembre | 60 | 67 | 127 |
| 2021 Agosto | 35 | 50 | 85 |
| 2021 Julio | 25 | 250 | 275 |
| 2021 Junio | 34 | 75 | 109 |
| 2021 Mayo | 41 | 74 | 115 |
| 2021 Abril | 85 | 118 | 203 |
| 2021 Marzo | 66 | 60 | 126 |
| 2021 Febrero | 100 | 55 | 155 |
| 2021 Enero | 37 | 25 | 62 |
| 2020 Diciembre | 36 | 33 | 69 |
| 2020 Noviembre | 15 | 30 | 45 |
| 2020 Octubre | 23 | 28 | 51 |
| 2020 Septiembre | 39 | 31 | 70 |
| 2020 Agosto | 33 | 33 | 66 |
| 2020 Julio | 29 | 22 | 51 |
| 2020 Junio | 21 | 29 | 50 |
| 2020 Mayo | 32 | 45 | 77 |
| 2020 Abril | 29 | 28 | 57 |
| 2020 Marzo | 25 | 20 | 45 |
| 2020 Febrero | 1 | 7 | 8 |
| 2020 Enero | 0 | 18 | 18 |
| 2019 Diciembre | 0 | 21 | 21 |
| 2019 Noviembre | 0 | 11 | 11 |
| 2019 Octubre | 0 | 7 | 7 |
| 2019 Septiembre | 0 | 7 | 7 |
| 2019 Agosto | 0 | 5 | 5 |
| 2019 Julio | 0 | 20 | 20 |
| 2019 Junio | 0 | 1 | 1 |
| 2019 Mayo | 0 | 46 | 46 |
| 2019 Abril | 0 | 19 | 19 |
| 2019 Marzo | 0 | 12 | 12 |
| 2019 Febrero | 0 | 9 | 9 |
| 2018 Abril | 0 | 14 | 14 |
| 2018 Marzo | 0 | 2 | 2 |
| 2018 Febrero | 10 | 49 | 59 |
| 2018 Enero | 16 | 25 | 41 |
| 2017 Diciembre | 21 | 25 | 46 |
| 2017 Noviembre | 21 | 19 | 40 |
| 2017 Octubre | 11 | 19 | 30 |
| 2017 Septiembre | 21 | 25 | 46 |
| 2017 Agosto | 32 | 47 | 79 |
| 2017 Julio | 22 | 37 | 59 |
| 2017 Junio | 26 | 44 | 70 |
| 2017 Mayo | 17 | 29 | 46 |
| 2017 Abril | 78 | 34 | 112 |
| 2017 Marzo | 17 | 51 | 68 |
| 2017 Febrero | 9 | 30 | 39 |
| 2017 Enero | 11 | 27 | 38 |
| 2016 Diciembre | 28 | 28 | 56 |
| 2016 Noviembre | 28 | 23 | 51 |
| 2016 Octubre | 36 | 29 | 65 |
| 2016 Septiembre | 29 | 20 | 49 |
| 2016 Agosto | 26 | 9 | 35 |
| 2016 Julio | 32 | 20 | 52 |
| 2016 Junio | 19 | 14 | 33 |
| 2016 Mayo | 7 | 12 | 19 |
| 2016 Abril | 8 | 1 | 9 |
| 2016 Marzo | 7 | 10 | 17 |
| 2016 Febrero | 9 | 12 | 21 |
| 2016 Enero | 7 | 8 | 15 |
| 2015 Diciembre | 5 | 9 | 14 |
| 2015 Noviembre | 10 | 9 | 19 |
| 2015 Octubre | 12 | 1 | 13 |
| 2015 Septiembre | 15 | 1 | 16 |
| 2015 Agosto | 17 | 4 | 21 |
| 2015 Julio | 45 | 42 | 87 |
| 2015 Junio | 65 | 10 | 75 |
| 2015 Mayo | 76 | 22 | 98 |
| 2015 Abril | 54 | 21 | 75 |
| 2015 Marzo | 21 | 19 | 40 |
| 2015 Febrero | 24 | 16 | 40 |
| 2015 Enero | 27 | 31 | 58 |
| 2014 Diciembre | 29 | 14 | 43 |
| 2014 Noviembre | 28 | 27 | 55 |
| 2014 Octubre | 59 | 17 | 76 |
| 2014 Septiembre | 28 | 24 | 52 |
| 2014 Agosto | 34 | 16 | 50 |
| 2014 Julio | 44 | 19 | 63 |
| 2014 Junio | 47 | 16 | 63 |
| 2014 Mayo | 66 | 10 | 76 |
| 2014 Abril | 41 | 10 | 51 |
| 2014 Marzo | 47 | 12 | 59 |
| 2014 Febrero | 36 | 23 | 59 |
| 2014 Enero | 34 | 16 | 50 |
| 2013 Diciembre | 30 | 19 | 49 |
| 2013 Noviembre | 26 | 16 | 42 |
| 2013 Octubre | 40 | 30 | 70 |
| 2013 Septiembre | 29 | 33 | 62 |
| 2013 Agosto | 34 | 23 | 57 |
| 2013 Julio | 26 | 43 | 69 |
| 2013 Junio | 20 | 45 | 65 |
| 2013 Mayo | 22 | 39 | 61 |
| 2013 Abril | 42 | 48 | 90 |
| 2013 Marzo | 37 | 37 | 74 |
| 2013 Febrero | 22 | 14 | 36 |
| 2013 Enero | 10 | 3 | 13 |
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