Dr. Shubhshree MISRA
Dermatologista
Outros autores: Dr.Vishwanath Tripathi
Quality of life in psoriasis and its relationship to clinical severity - An Original Article
Objectives: --Psoriasis affects 2% of population, affecting both, men and women study was conducted to assess the effects of psoriasis severity PASi on the patient's quality of life PDI. The present study was conducted on 100 cases of Psoriasis of both genders. An assess,11enl of psoriasis was using the psoriasis area severity : (PASI). The PASI score Was calculated by .subjective assessment of 3 factors: erythema(£), induration(/), and scaling (S).
Introduction: Psoriasis affects approximately 2% of the world's populatio11, affecting both men and women. Although psoriasis generally does not affect survival, it has significant detrimental effect on quality of life (QOL), which may be comparable to that of ischemic heart disease, diabetes, depression, and cancer. lt is often linked with social stigmatization, loss of self-confidence, pain, discomfort, physical disability, and psychological distress. Many patients report moderate to extreme feelings of anxiety, anger, and depression and higher frequency of suicidal ideation.
Materials / method: The present hospital based prospective co-relation study was conducted at our tertiary care centre among patients to assess the effects of psoriasis severity (PASi) on the patient's quality of life(PDi). Cases of both genders. Institute Ethics Committee Clearance was obtained prior to the start of study. Written and informed consent was taken from all patients. Sociodemographic and clinical information was obtained fromall the patients.
III. INCLUSION CRITERIA
l. Diagnosed cases of psoriasis
2. Able and willing to give informed consent
IV. EXCLUSION CRITERIA
l. Pregnant and lactating women.
Results: Majority of the patients (22%) were in the age group of 61-70 years followed by 19% the age group of 51-60 years. 18% patients were in the age group of 41-50 years, 17% patients were in the age group of greater than 70 years, 13% the age group of 31-40 years and 11% patients in the 21-30 years of age group.
Female preponderance (58%) while male patients constituted 42% of the study group .The M:F ratio was l :1.4
The severity of psoriasis according to the PASI score. 40% patients had mild psoriasis (PASI<7), 26% of patients had psoriasis of moderate severity (PASI 7 -12) while 34% severe.
Conclusion: Severity of psoriasis as per PASI has no correlation with psoriasis related Quality of Life (QoL) as per PDI in our study. The quality of Life (QoL) was most affected in daily activities and it was also observed that all aspects of (QoL)was affected more by patients having psoriasis of less severity sensitive sites of head/neck and hand/foot as compared to patients having psoriasis of more severity on other parts of the body.