Clinical and epidemiological characterization of psoriasis and psoriatic arthritis in a multidisciplinary assessment model

Alej,; R, ra Lopez; G, Karla Macias; S, Marcela Cerda E Pamela; oval, M

doi:10.4172/1758-4272.1000184

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Int. J. Clin. Rheumatol

2018

DOI: 10.4172/1758-4272.1000184

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Clinical and epidemiological characterization of psoriasis and psoriatic arthritis in a multidisciplinary assessment model

Alej Alej¹,

ra Lopez R²,

Karla Macias G³

et al.

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Cited by 2 publications

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References 9 publications

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“…Among the modern aspects of the clinical course of chronic lichenoid dermatoses should pay attention to the significant «rejuvenation» of the pathology [12,16,18,24]. There is a general increase in the incidence of psoriasis among children and adults, and the growth of severe and moderate forms of psoriasis among the young population [11,19,23].…”

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confidence: 99%

Modern clinical and anamnestical aspects of lichenoid dermatoses

Bilovol¹,

Ткаченко²,

Berehova³

2021

D&V

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The objective of the work was to study modern clinical and anamnestic features of chronic lichenoid dermatoses. Materials and methods.Clinical and anamnestic examination of 100 patients with psoriasis and 80 patients with lichen planus (LP) was carried out. In both study groups, the majority were patients 51–60 years old, the minority – patients 31–40 years old. Among patients with psoriasis, men prevailed in all age groups, among patients with LP, men prevailed in the group of 20–30 years. Results. In the general gender structure, men prevailed in the group of patients with psoriasis, women prevailed in the group of patients with LP. Comparison of the anamnestic data regarding dermatoses revealed a chronic recurrent nature, characteristic of both psoriasis and lichen planus. According to the to the duration of the disease, among patients with psoriasis, the majority were patients with a long course of more than 10 years, among patients with LP – patients with a history of less than 1 year. In the group of patients with psoriasis, the majority were patients with early onset of dermatosis, in the group of patients with LP – with a late onset after 25 years. Annual manifestations of dermatosis were recorded in the vast majority of patients with psoriasis; in patients with LP, annual manifestations of dermatosis were recorded 12 times less frequently. A family history of psoriasis was found 10 times more often than in the LP group. In patients with psoriasis, compared with patients with LP, a greater relative number of long-term forms of dermatosis (38% of cases versus 22.5%), and early forms of dermatosis, which occurred before the age of 25 (52% of cases, versus 26.5%) were found. The leading provoking factor among patients with psoriasis was recognized as psychoemotional stress (61%), and among patients with LP, infections suffered the days before (49%). Also, in patients with psoriasis, obesity and overweight were recorded 5 times more often, cardiovascular diseases – 3.6 times more often, endocrine disorders – 2.4 times more often, concomitant pathology of the digestive system – 1.5 times more often than in patients with LP. At the same time, comorbital chronic infectious states were recorded more often in LP patients than in patients with psoriasis (31.25% of cases versus 22% of cases). Conclusions. The revealed results of the clinical and anamnestic characteristics of the studied groups turned out to be homogeneous in terms of age characteristics, heterogeneous in gender characteristics, trigger factors, comorbid pathologies, and multidirectional in terms of duration, manifestations and onset of dermatosis, which requires further study and systematization of key parameters.

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mentioning

confidence: 99%

Modern clinical and anamnestical aspects of lichenoid dermatoses

Bilovol¹,

Ткаченко²,

Berehova³

2021

D&V

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A cross-Sectional Study of Psoriatic Arthritis in One Center in Baghdad

Al-Hafidh

2023

MJBL

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Background: Psoriatic arthritis is a chronic inflammatory illness. Nearly, 15% of psoriasis patients have undiagnosed psoriatic arthritis. Objective: The aim of this study was to investigate the prevalence of psoriatic arthritis and different clinical–epidemiological characteristics of the disease of patients. Materials and Methods: This cross-sectional study included psoriatic patients who attended Baghdad Teaching Hospital. Clinical examination, laboratory investigations including rheumatoid factor analysis and radiological examination of axial and peripheral skeleton were done. The prevalence of PsA, age, sex, clinical variants of PsA, and psoriasis type were assessed. Results: The prevalence of psoriatic arthritis was 0.02% during the period of study, mean age of participants was 44 ± 33. Obesity and overweight were reported by 34.75%, smoking by 24.58% with significant association with gender, also 28.81% with family history more in females. Regarding comorbidity, 33.9% of patients were suffering from metabolic syndrome, 23.72% with dyslipidemia, 22.88% with hypertension, and 17.8% with diabetes. Higher percentages (65.31%) of polyarthritis had family history followed by oligoarthritis (24.45%) and distal interphalangeal (10.20%). However, the association between types of arthritis was found to be statistically nonsignificant. Regarding the distribution of study sample according to the types of treatment, higher percentage of patients (72.88%) were on methotrexate (MTX) followed by NSAIDs (64.4%), while the lower percentage (4.7%) for Golimumab. Conclusions: A high percentage of comorbidities such as metabolic syndrome, diabetes mellitus, hypertension, dyslipidemia, and obesity were observed. Psoriasis vulgaris was the most common type of skin lesion associated with axial involvement. Family history was associated with oligoarthritis more than other types. The first choice of treatment was MTX.

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Clinical and epidemiological characterization of psoriasis and psoriatic arthritis in a multidisciplinary assessment model

Cited by 2 publications

References 9 publications

Modern clinical and anamnestical aspects of lichenoid dermatoses

Modern clinical and anamnestical aspects of lichenoid dermatoses

A cross-Sectional Study of Psoriatic Arthritis in One Center in Baghdad

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