Study of prevalence and factors associated among the patients of psoriasis at tertiary health care center

 

Kandaswamy M¹, Suganthi S^2*

 

Abstract              Background: Psoriasis is a multifactorial disease, clinical presentation of may vary from person to person also genetic and environmental factors greatly influence clinical presentation, severity, outcome and associated morbidity. Further, psoriasis may have a variable course and generally does not affect survival, but has negative impact on the quality of life. Present study was aimed to study of prevalence and factors associated among the patients of psoriasis at tertiary health care center. Material and Methods: This single-center, prospective, observational study was was conducted in Patients of > 18 years age, either gender, attending OPD, primarily diagnosed as psoriasis. Results: 140 patients with confirmed diagnosis of psoriasis were considered for present study. prevalence of psoriasis at our dermatology OPD was 2.17 %. Majority of patients were from 31-45 years age group (47.86 %) followed by 19-30 years age group (31.43 %). Male predominance was noted (63.57 %) with male to female ratio as 1.74:1. On the basis of history and clinical examination psoriasis vulgaris (72.14%) was most common diagnosis followed by palmoplantar psoriasis (13.57%), scalp psoriasis (9.29%). Less common types were nail psoriasis (2.14%), generalized pustular psoriasis (1.43%), psoriatic arthropathy (0.71%) and distal interphalangeal psoriatic arthropathy (0.71%), In present study common co-morbidities noted in psoriasis patients were diabetes mellitus (51.43%), hypertension (49.29%), dyslipidemia (36.43%), metabolic syndrome (35.00%) and depression (25.71%). Alcohol consumption (35 %) was most common aggravating factors noted followed by stress such as lack of sleep, emotional stress, acute infection (32.86%), Smoking (22.14%), long exposure to air conditioning / cold weather (15.71%). Less common aggravating factors noted were drugs (beta-blockers, nonsteroidal anti-inflammatory drugs) (7.86%), physical trauma (2.86%), changes during pregnancy (2.86%) and oral contraceptive pills (1.43%), Conclusion: Common aggravating factors for psoriasis were alcohol consumption, stress, smoking and exposure to air conditioning / cold weather were noted. Various co-morbidities such as diabetes mellitus, hypertension, dyslipidemia, metabolic syndrome and depression were also noted.

Keywords: Psoriasis, Clinical Profile, alcohol consumption, Psoriasis vulgaris