O impacto da tonsilectomia no manejo da psoríase gutatta

Abstract

The impact of tonsillectomy in the management of psoriasis guttata. Introduction: Psoriasis is a chronic skin disease that affects 1% to 3% of the population worldwide. In Brazil, about 1% of the population is affected by this skin disease. The gutatta Psoriasis is characterized by an abrupt onset of small erythematous plaques and fine flaking lesions. And it is often associated with streptococcicas infections. Treatment of these infections of ten prevent future outbreaks. The palatine tonsils can play an important role in triggering (by infection), and hence the management of gutatta psoriasis, making appropriate treat ment required. Goals: Conduct a study on the use and effectiveness of tonsillectomy in con trolling gutatta psoriasis through a systematic review of the literature, identifying evidence to support this practice, and the circumstances for choosing this treatment, reviewing the effectiveness of the same treatment in question. Methodology:This is a systematic review of clinical trials and case reports studies from 1995 to 2014. The survey was conducted for articles published in MEDLINE databases (Pubmed), Cochrane Database of Systematic Re views, sciece Direct, Bireme, Web of Science and Journal Capes. Foram Portal used terms that correlate tonsillectomy and treatment of psoriasis gutatta. Results: initially found 79 articles in searchable databases. Among these, 06 studies met the pre-established criteria of inclusion. Conclusion: The literature review identifies tonsillectomy as a acceptable in the treatment of refractory gutatta psoriasis (psoriasis subtype with resistance to various types of conventional treatments), when associated with recurrent streptococcal infections. How ever, there is little research or experience report in the literature. What makes it necessary to conduct further studies to tonsillectomy is considered a safe and effective treatment in the management of psoriasis gutatta.