Volume : 7, Issue : 4, April - 2018

STUDY OF EPIDEMIOLOGY, LIFE QUALITY AND PSYCHOLOGICAL IMPACT OF PSORIASIS

Dr. S. Judithjoy, Dr. P. Nirmaladevi, S. Francis Monica

Abstract :

<p class="MsoNormal" style="line-height:normal"><b><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Background:<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:normal"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-bidi-font-weight:bold">Psoriasis is a common,chronic, disfiguring, inflammatory and proliferative condition of the skin in which both genetic and environmental influences have an important role.</span><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-bidi-language:&#10;EN-US;mso-bidi-font-weight:bold">Stress can also play an important role in the provocation of the disease.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:normal"><b><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Objectives:</span></b><b style="mso-bidi-font-weight:normal"><span lang="EN-IN" style="font-size:12.0pt;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:normal"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">To assess the epidemiology, clinical characteristics and quality of life (QoL) of<span style="mso-spacerun:yes">&nbsp; </span>patients with psoriasis.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:normal"><b><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Methods:</span></b><b style="mso-bidi-font-weight:normal"><span lang="EN-IN" style="font-size:12.0pt;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:normal"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">A cross-sectional and observational study was conducted at the psoriasis clinicof <span style="mso-spacerun:yes">&nbsp;</span>Dermatology Department of </span><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-bidi-language:EN-US">the <span style="mso-spacerun:yes">&nbsp;</span>Tirunelveli Medical College Hospital</span><span lang="EN-IN" style="font-size:12.0pt;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> between august 2013 and september 2013 applying an epidemiological and QoL-related survey to psoriatic patients (age10-60years).<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:normal"><b><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results:<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:normal"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Sixty Three <span style="mso-spacerun:yes">&nbsp;</span>patients with psoriasis were included in the study.Men accounted for 50.79% of the sample and women 49.20%. <span style="mso-spacerun:yes">&nbsp;</span>Psoriasis vulgaris was the predominant morphological type (52.38%), followed by palmoplantar<span style="mso-spacerun:yes">&nbsp; </span>psoriasis (22.22%).Nearly 32.0% of patients had less than 10% of BSA affected, while 41.0% had 10% to 30%, and 26.98% had &gt;30.0%<span style="mso-spacerun:yes">&nbsp; </span>BSA involved. There was no significant joint involvement.Hypertension and diabetes were present in 17.46 % and<span style="mso-spacerun:yes">&nbsp; </span>9.52% of patients, respectively. The mean Dermatology Life Quality Index was 28.66 .</span><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;Calii">Greater impact of the disease on QoL was associated with female sex in the age group of 10-20 years.</span><span lang="EN-IN" style="font-size:12.0pt;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></p> <p class="MsoNormal" style="line-height:normal"><b style="mso-bidi-font-weight:&#10;normal"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusion:<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:normal"><span lang="EN-GB" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-ansi-language:EN-GB"><span style="mso-spacerun:yes">&nbsp;</span>In our study we found out that the incidence of psoriasis is about 3.15%.Psoriasis vulgaris was the common disease among <span style="mso-spacerun:yes">&nbsp;</span>various skin conditions <span style="mso-spacerun:yes">&nbsp;</span>identified in patients attending the outpatient department of <span style="mso-spacerun:yes">&nbsp;</span>Dermatology. </span><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></p>