A DESCRIPTIVE STUDY ON THE CLINICAL MANIFESTATIONS AND SEVERITY OF PSORIASIS IN PATIENTS PRESENTING TO DERMATOLOGY OPD OF A TERTIARY HEALTH CARE CENTER IN CENTRAL KERALA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 52
Abstract
BACKGROUND Psoriasis is heterogeneous in its history, manifestations, presenting age, sites affected and environmental triggers. It presents as small localized lesions to generalized exfoliation type. An understanding of the most common clinical manifestation and degree of severity will help improve the standards of treatment and in turn improve the quality of life of psoriatic patients. Only very few studies have gone through this. The aim is to study the different clinical manifestations, aggravating factors, severity and most common presentations among the psoriasis patients presenting to the Dermatology OPD of Government Medical College, Kottayam. MATERIALS AND METHODS This is a descriptive study conducted over a period of two months in the Department of Dermatology and Venereology, Government Medical College. The study was conducted with a semi-structured interview schedule recording history, examination, PASI score and diagnosis. The data so obtained was entered in Microsoft Excel and analyzed using SPSS software. RESULTS 30.5% of the study sample had a history of aggravation of disease with seasonal variations (Summer) and 25.6% showed multifactorial aggravation. 17.1% had a family history of psoriasis. 87.8% had localized lesions. 92.7% presented with plaques. The most common type was chronic plaque (36.6%). As per PASI, 56% had mild, 22% each had moderate and severe psoriasis. CONCLUSION Chronic plaque psoriasis is the most common clinical type and most people present at the mild stage of the disease. Moderate and severe forms can be reduced by avoiding the aggravating factors. Planning appropriate treatment can significantly improve the quality of life of psoriasis patients.
Authors and Affiliations
Arathy Jayakumar, Seena P
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