Download PDF
Aktuelle Dermatologie 2024; 50(03): 145-148
DOI: 10.1055/a-2202-6897
Kasuistik

Kompressionstherapie bei entzündlichen Dermatosen – Psoriasis vulgaris und Varikose

Compression Therapy of Inflammatory Dermatoses – Psoriasis Vulgaris and Varicose Veins
Katharina Assaf 
1   Zentrum für Hauterkrankungen, Universitätsklinikum Bonn, Bonn, Deutschland
,
Jana Schäfer 
1   Zentrum für Hauterkrankungen, Universitätsklinikum Bonn, Bonn, Deutschland
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Zusammenfassung

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


Publication History

Article published online:
14 March 2024

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Rabe E, Berboth G, Pannier F. Epidemiology of chronic venous diseases. Wien Med Wochenschr 2016; 166: 260-263
    CrossrefPubMedSearch in Google Scholar
  • 2 Pannier F, Noppeney T, Alm J. et al. S2k guidelines: diagnosis and treatment of varicose veins. Hautarzt 2022; 73: 1-44
    CrossrefPubMedSearch in Google Scholar
  • 3 Rabe E, Pannier-Fischer F, Bromen K.. et al. Bonner Venenstudie der Deutschen Gesellschaft für Phlebologie. Phlebologie 2003; 32: 1-14
    Thieme ConnectPubMedSearch in Google Scholar
  • 4 Lim CS, Davies AH. Pathogenesis of primary varicose veins. Br J Surg 2009; 96: 1231-1242
    CrossrefPubMedSearch in Google Scholar
  • 5 Segiet OA, Brzozowa-Zasada M, Piecuch A. et al. Biomolecular mechanisms in varicose veins development. Ann Vasc Surg 2015; 29: 377-384
    CrossrefPubMedSearch in Google Scholar
  • 6 Strölin A, Adamczyk A. et al. Erkrankungen der Venen. In: Plewig G, Ruzicka T, Kaufmann R. Braun-Falco’s Dermatologie, Venerologie und Allergologie. Berlin, Heidelberg: Springer; 2018: 1203-1225
    CrossrefSearch in Google Scholar
  • 7 Rabe E, Foldi E, Gerlach H. et al. Medical compression therapy of the extremities with medical compression stockings (MCS), phlebological compression bandages (PCB), and medical adaptive compression systems (MAC) : S2k guideline of the German Phlebology Society (DGP) in cooperation with the following professional associations: DDG, DGA, DGG, GDL, DGL, BVP. German version. Hautarzt 2021; 72: 137-152
    CrossrefPubMedSearch in Google Scholar
  • 8 Weber B, Deinsberger J. Ulcus cruris venosum. hautnah 2022; 21: 43-50
    CrossrefPubMedSearch in Google Scholar
  • 9 Konschake W, Valesky E, Stege H. et al. Evidence of compression therapy. Hautarzt 2017; 68: 625-631
    CrossrefPubMedSearch in Google Scholar
  • 10 Partsch H. CHAPTER 10 – Mechanism and Effects of Compression Therapy. In: Bergan JJ. The Vein Book. Burlington: Academic Press; 2007: 103-109
    CrossrefSearch in Google Scholar
  • 11 Beidler SK, Douillet CD, Berndt DF. et al. Inflammatory cytokine levels in chronic venous insufficiency ulcer tissue before and after compression therapy. J Vasc Surg 2009; 49: 1013-1020
    CrossrefPubMedSearch in Google Scholar
  • 12 Schafer I, Rustenbach SJ, Radtke M. et al. Epidemiology of psoriasis in Germany – analysis of secondary health insurance data. Gesundheitswesen 2011; 73: 308-313
    Thieme ConnectPubMedSearch in Google Scholar
  • 13 Ziob J. Kompressionstherapie bei Psoriasis vulgaris. vasomed 2021; 33: 51
    PubMedSearch in Google Scholar
  • 14 Sampogna F, Gisondi P, Melchi CF. et al. Prevalence of symptoms experienced by patients with different clinical types of psoriasis. Br J Dermatol 2004; 151: 594-599
    CrossrefPubMedSearch in Google Scholar
  • 15 Nast A, Kopp IB, Augustin M. et al. Evidence-based (S3) guidelines for the treatment of psoriasis vulgaris. J Dtsch Dermatol Ges 2007; 5: 1-119
    CrossrefPubMedSearch in Google Scholar
  • 16 Ziob J, Heyer A-S, Berboth G. et al. P255 Varikose und das „endogene“ Köbner-Phänomen: Eine Fallserie. Poster der 50. DDG-Tagung. JDDG J Dtsch Dermatol Ges 2019; 17 (Suppl. 03) 80-211
    PubMedSearch in Google Scholar