Case Study On Psoriasis Vulgaris

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Background: Psoriasis Vulgaris is the commonest encountered type of psoriasis and it accounts for approximately 90% of cases. It occurs worldwide and has been on an increased trend in last decade. According to the World Health Organization report 2016 the prevalence of psoriasis in countries range between 0.09% and 11.43%. This shows that the disease is a global threat and approximately 120 millions of people suffer from psoriasis. The disease has been shown to have a complex genetic predisposition with an inheritance pattern. Besides genetics, multiple environmental risk factors have been implicated in the psoriasis disease process. Trauma, stress, seasonal variations, infections, drugs, alcohol, smoking and sunlight are the environmental…show more content…
A positive family history was recorded in nearly half of the patients in the study. In more than 75% of cases, a first degree relative was noted to have psoriasis.
Association of onset of psoriasis according to family history: There is no significant between these factors in Mauritius (SD: 25, CI 95%, X²=7.54, p=0.79).However in Dalian there is significance association (SD: 20, CI 95%, X²: 3.45, p= 0.005).
c) Marital status and Employment status: In Mauritius 66% who had psoriasis vulgaris was married and in Dalian 56% was married. : In this study in Mauritius, more than half of the patients 32 (64%) were employed and 18 (36%) patients were. unemployed. Majority was farmers (46%).In Dalian: 26 patients (52%) were unemployed and majority was retired
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In Dalian, there were 26 patients who were retired and there was significant association (MD: 24, CI 95%, X²= 7.21, p= 0.0015)
Association of onset of psoriasis according to marital status: In Mauritius out of the 50 patients, there were significance between these factors (CI 95% X²=2.32, p=0.001). In Dalian, there were 26 patients who were retired and there was significant association (CI 95%, X²= 5.21, p= 0.0013) d) Duration of skin complaints according to gender and marital status:
In Mauritius, out of the 50 patients, 30 were males and skin duration was on average 11 years (MD: 11.2, SD: 10.4). The 5 year duration 27% were male and 10 year duration 23% were male and there was association between skin duration and gender( CI 95%, X²= 0.64,p=0.0002). In Dalian, the skin duration was on average 10 years (MD: 10.1, SD: 10). The 5 year duration 33% were male and 10 year duration 53% were female and there was association between skin duration and gender( CI 95%, X²= 2.54,p=0.00015).
e) Progression of psoriasis vulgaris according to exacerbation and

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