Manifestations and Management of Difficult-to-Treat Psoriasis

Aldredge, Lakshi; Higham, Robert

doi:10.1097/jdn.0000000000000418

Cited by 26 publications

(47 citation statements)

References 54 publications

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“…The estimated incidence of scalp psoriasis among psoriatic patients is 45–56% of [3]. In one epidemiological study it was found that up to 90% of psoriatic patients may have the scalp affected by the disease at some point during their lifetimes [4, 5].…”

Section: Scalp Psoriasismentioning

confidence: 99%

“…More than 70% of these patients report difficulty with everyday activities. Patients often experience the feeling of shame, embarrassment or self-consciousness about their scalp lesions and as a consequence wear hats or grow their hair long to hide the defect [4, 6].…”

Section: Scalp Psoriasismentioning

confidence: 99%

“…The nasolabial folds, eyelids and perioral area are rare sites of psoriasis. It is proven that the vast majority of patients with facial psoriasis also have the scalp involved [4, 8].…”

Section: Facial Psoriasismentioning

confidence: 99%

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Psoriasis in special localizations

Dopytalska¹,

Sobolewski²,

Błaszczak³

et al. 2018

Reumatologia

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Psoriasis is a chronic inflammatory dermatosis affecting 1–3% of the general population. Patients with psoriasis represent a heterogeneous population with individual disease expression – different degrees and severity of skin involvement. Psoriatic lesions in particular localizations such as the face, scalp, intertriginous or palmoplantar areas significantly reduce quality of life. Patients often feel ashamed, embarrassed, or self-conscious about their symptoms. Furthermore, genital psoriasis significantly affects sexual health. Among patients with psoriasis, the prevalence of special localizations is estimated to be 23–27% on the nails, 49% on the face, 12–16% on the palms and soles, and up to 36% in intertriginous regions. Due to peculiar features of skin in these areas, adequate and specific management is required, which is discussed in this review.

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Section: Scalp Psoriasismentioning

confidence: 99%

Section: Scalp Psoriasismentioning

confidence: 99%

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Psoriasis in special localizations

Dopytalska¹,

Sobolewski²,

Błaszczak³

et al. 2018

Reumatologia

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“…9 Incidence of scalp psoriasis varies from 50% to 90%. 10,[11][12][13] Scalp manifestations may be the only sign or part of generalized plaque psoriasis along with focus elsewhere on the body. Genetic predisposition and environmental factors play a vital role in the incidence of psoriasis.…”

Section: Discussionmentioning

confidence: 99%

An overview of scalp dermatoses in a tertiary care institute

et al. 2020

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is a common disorder in Children that includes atopic dermatitis, seborrheic dermatitis, tinea capitis, and psoriasis. 1 In a survey of 735 adults in the United States, 39% experienced some flaking, and almost 50% complained of scalp itch. 2In human societies, hair and scalp now play an important role in appearance and sexual signalling; original functional roles of protection and heat conservation are secondary, and changes in the appearance of skin and hair, which affect self-esteem and confidence in social settings, have become primary. The good condition of the scalp has a considerable effect on the patient's psychological well-being and social interaction. The ABSTRACTBackground: The scalp is unique among skin areas in humans, with high follicular density and high rate of sebum production which though providing thermal insulation also creates an environment conducive to superficial mycotic infections and parasitic infestations. As there is a paucity of studies on scalp dermatoses in the Indian and Western literature, a clinical study of these scalp dermatoses can unravel the common clinico-epidemiological manifestations in our population. Methods: This is a prospective observational study conducted for a period of 6 months. All the patients reporting to our department were evaluated for entry into the study and patients having scalp lesions were enrolled. A detailed clinical history and a thorough scalp examination were performed. Results: The incidence of scalp dermatoses is more among adolescents and early adulthood with a male to female ratio 1.8:1. 57% of patients had lesions exclusive to scalp. Scalp was the initial site of presentation in 54.6% of cases who had generalized lesions. Itching (n=107; 53.5%) is the commonest presenting complaint. Among the scalp sites, parietal area was involved the most (73%). The most common dermatoses were psoriasis (21.5%) followed by alopecia areata (11.5%). Conclusions: The scalp dermatoses have significant psychological impact affecting the social profile of the patients. To the best of our knowledge, this is the first Indian study on scalp dermatoses involving all age groups which gives a precise clinical insight into scalp dermatoses.

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“…Psoriasis has a variety of different presentations ( 8 ) , characterized by red plaques with adherent silvery-white scales, and typically has symmetrical distribution across the body ( 9 ) . Topical treatments are generally used as first-line therapy for most types of psoriasis ( 10 ) , which generally provide a high efficacy-to-safety ratio ( 11 ) . Moderate-to-severe psoriasis is usually treated with systemic therapies, such as methotrexate (MTX) or biologics ( 12 ) .…”

Section: Introductionmentioning

confidence: 99%

Beliefs about Medicines among a Sample of Iraqi Patients with Psoriasis

2021

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Objectives: This study aimed to evaluate beliefs about use of medications for a sample of Iraqi psoriasis patients, and to examine the association between these beliefs and selected patient’s related factors. Methods: This cross-sectional study included 300 patients with diagnosed psoriasis. Participants were recruited at the center of Dermatology and Venereology, Medical City in Baghdad, the capital city of Iraq. Patients’ mean age was 35.15years (±10.54). Beliefs about medicines were measured by the Arabic version of Beliefs about Medicines Questionnaire. Results: Most the patients (76.7%) had strong beliefs in the need (acceptance beliefs) for their psoriasis medicines (specific-necessity score higher than specific-concern), whereas 15.0% of patients had specific-concern score higher than specific-necessity and 8.3% of patients had specific-necessity score equal to specific-concern. At the same time, 74.4% of the patients believed that the medicines disrupt their lives and (35.6%) of them had concerns about the possibility of becoming addicted on these medicines. Many other patients were worried about the long-term consequences of the medicines (58.7%). In addition, 31.0% of the participants believe that all medicines are poisoning, and that they do more harm than good. Finally, many of the participants believed that physicians prescribe too many medicines (46.7%), and they can minimize the number of prescribed medicines by spending more time with their patients (32.6%). Conclusions: Female gender and longer disease duration have direct association with specific necessity, while psoriasis severity has a direct association with specific concern. In conclusion, Beliefs about medications and habit strength are important modifiable drivers to enhance adherence and clinical outcomes in the control of psoriasis.

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Manifestations and Management of Difficult-to-Treat Psoriasis

Cited by 26 publications

References 54 publications

Psoriasis in special localizations

Psoriasis in special localizations

An overview of scalp dermatoses in a tertiary care institute

Beliefs about Medicines among a Sample of Iraqi Patients with Psoriasis

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