Die Varikose, das Krampfaderleiden, stellt ein häufiges Krankheitsbild dar. Die Kompressionstherapie
kommt hier standardmäßig zur Anwendung. Bei der Psoriasis vulgaris, einer chronisch-entzündlichen
Hauterkrankung, können lokale Reize das Auftreten typischer Hautläsionen triggern.
Ein örtlicher Zusammenhang psoriatischer Plaques und Varizen wird klinisch beobachtet.
Im dargestellten Fall verhalf eine ergänzende Kompression zur Abheilung.
Abstract
In Germany, about 25% of the population show signs of chronic venous insufficiency
(CVI).
Pathophysiologically, varicosis is based on a weakness of the vein wall, which can
be attributed to a decrease in elastic fibres and muscle cells.
The main indications for medical compression therapy are chronic and thromboembolic
venous diseases and oedema.
The effect of this therapy relies on different mechanisms, which lead to reduction
in venous hypertension by reducing the venous vessel cross-section, promoting the
venous return and activating the calf muscle pump.
It is clinically known that, in addition to external so-called exogenous stimuli,
internal (endogenous) factors such as varicosis can also "trigger" dermatoses such
as the psoriasis present in the case study.
In refractory psoriatic lesions of the lower extremities, a detailed history, clinical
examination, and colour-coded duplex sonography should be performed to diagnose relevant
concomitant venous diseases. Depending on the findings, additional compression therapy
can be considered and, if necessary, further phlebological therapy can be initiated.
Prospective studies should be planned to investigate the clinical impression and the
pathophysiological relationship between therapy-resistant skin changes and varicosis.
Schlüsselwörter
Psoriasis - Varikose - Kompressionstherapie
Keywords
psoriasis - varicose veins - compression therapy
