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
The Integumentary is a vast organ system composed of exocrine glands, hair, nails, and the most commonly known organ, the skin. As a large system, it can be susceptible to many different types of diseases, one of these diseases are called Psoriasis. This affects a large portion of the Integumentary system, the skin. Psoriasis are considered to be a widespread, common and recurring disease that can be chronic at times. Psoriasis are defined by its appearance of light silver in color, flaky, rash on many parts of the Epidermis.
This essay explores and reflects on the lived experiences of an elderly patient living with the long-term condition (LTC) of psoriasis. A case study is used to illustrate some of the key features of LTCs and the impact they can have on a patient’s physical, psychological and social state. It is also going to be looking at the effect some of the key features can have on a patients support network or family. In addition it will examine the nurses role in the management of LTCs and the health and social policies that may have an impact on the care received by patient with LTCs.
Generally this means a pleasing appearance is not a guide to character. In this case, we
It was important to discuss with Lisa during consultation family history that could provide additional support for my final diagnostic conclusion .Going thru such topic area Lisa explain that her husband James dad was suffering with atopic eczema since childhood .This was quite an important piece of information as such conditions like atopic eczema ( dermatitis ) are hereditary conditions often (National Eczema Society ,2011).Atopic dermatitis or eczema is a chronic skin disorder inflammatory with pruritic skin that appears mostly on the face ,neck ,bends of the arms or legs caused by the malfunction in the skin barrier( NICE,2013).
Psoriasis: This is a common, chronic and recurring skin disorder that changes and alters the life cycle of skin cells. It causes cells to accumulate quickly on the skin surface. The extra cells from the skin forms a thick, itchy, silvery scale and a red patch. It can appear at any part of the body such as the knee, scalp, elbow etc. it is treated with drugs applied to the skin, ingested and with ultraviolet radiation. This disease has affected about 1%-5% of the world population and it is more common to the light skinned people. Psoriasis may persist throughout a person’s life as it comes and goes but it is usually reduced during the summer period when the skin is exposed to ultraviolent radiation and flare ups are common during
The pathophysiology of psoriasis is characterized by epidermal hyperproliferation, enhanced antigen presentation, T helper 1 cytokine production, T cell expansion, and angiogenesis. (El-Darouti and Abdel Hay, 2010 ).
Background: Plaque psoriasis is a painful autoimmune disease that affects up to 3% of the US population.1 Moderate-to-severe psoriasis can have significant psychological and physiological effects on a person’s health and although psoriasis can be controlled, it cannot be cured, so medications play an important role in reducing related comorbidities and improving patients’ quality of life.2
Psoriatic Arthirits affects an estimated thirty percent of individuals who suffer from psoriasis. Psoriasis is a autoimmune disorder that affects the cycle of the skin, causing inflammation and red lesions to form on the skin. Psoriatic arthritis causes joint and muscle pains, as well as swelling and damage of the joints and muscle, and typically causes tender spots where tendons and ligaments meet the bone. About fifty persont of patients diagoned with psoriasis or Psoriatic arthritic has a family background with the auto-immune disorder, suggesting it is a hereditary disease.
The most common symptoms of psoriasis include: raised, red, inflamed lesions, silvery scaly plaques, small, red, individual spots, dry skin that may crack and bleed, itching, or burning, and soreness of the skin.
Psoriasis is a chronic skin disorder, easily identified by its symptoms of white, scaly skin and red lesions, though not so easily cured or understood. In psoriasis, skin cells mature faster than the body can shed them, causing a buildup. Although there are many theories as to what the cause of such a disease might be genetics, stress, or other triggers no one is quite sure why the disease occurs, or what could be a possible way to fully cure it. In this essay we will explore the symptoms, types, and effects of this condition, and also some of the known treatments.
Psoriasis is as the author of the article “Update on Psoriasis and its Management” states, a genetically inherited chronic inflammatory
As this study found out, Psoriasis is more prominent in countries that are closer to the poles, but there are many other factors that come into play like the environment, health care availability, and genetics/heredity. Psoriasis comes in many forms, but the five most commonly seen is Chronic plaque psoriasis, Inverse psoriasis, pustular psoriasis, Erythrodermic psoriasis, and Guttate psoriasis. Chronic plaque psoriasis makes up 80-90% of cases in the world. All forms of the disease cause patches of dry, irritated skin and the surface area of these rashes vary from patient to
So far, 25 genetic variants have been identified that make a person more susceptible to getting psoriasis (Genes, 2015). Based on these findings, it has been determined that about 10% of the population are a carrier of one of these genetic variants, but only 2-3% of the population will experience a trigger that causes the disease to present itself. These triggers include stress, skin injuries, certain medications, and infection (specifically a correlation has been found between the streptococcus bacterium and patients that present with psoriasis) (Psoriasis, 2015; Genes 2015). Of the people who are diagnosed with psoriasis, 30% will develop psoriatic arthritis. This condition comes with an increased risk of cardiovascular diseases, depression, cancer, crohn’s disease, and
As previously stated, Psoriasis is caused by a mistaken trigger in the Immune system. “Normally, T cells help protect the body against infection and disease.” (NIAMS, 2013) When the disorder triggers the immune system, it causes the T cells to activate and trigger other immune responses. This will develop the redness and scaling of the
Red, raised, dry, inflamed, scaly areas on the body and the pitting of the nails describe the common appearance of the pathological disease of psoriasis. Doctors often find it difficult to determine psoriasis because it is very similar to other skin disorders. There are several ways to confirm its medical diagnosis, dermatologist may analyze your skin, nails, and scalp (Langley, 2010). A dermatologist is a specialist trained in skin diseases. If not determined by the naked eye, further investigations are needed to determine the type of psoriasis. It can be tested by a biopsy of the skin which is performed by examining the skin under a microscope, x-rays could determine joint swelling or joint deformity, a blood test to determine arthritis, and medical history.