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Association Between Psoriasis and Dementia: A Population-Based Case-Control Study.

Ching-Chun Lin1, Herng-Ching Lin2, Hung-Wen Chiu3

  • 1Graduate Institute of Biomedical Informatics, College of Medicine Science and Technology, Taipei Medical University, 250 Wu-Hsing St., Taipei, 110, Taiwan.

American Journal of Clinical Dermatology
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Summary
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Individuals with dementia were more likely to have a prior diagnosis of psoriasis. This population-based study in Taiwan suggests a potential link between psoriasis and dementia risk, warranting further investigation.

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Area of Science:

  • Neurology
  • Dermatology
  • Epidemiology

Background:

  • Dementia is a syndrome of cognitive decline in older adults.
  • Psoriasis is an autoimmune skin condition.
  • Previous studies suggest an association between dementia and psoriasis, but Asian data is lacking.

Purpose of the Study:

  • To investigate the association between a prior diagnosis of psoriasis and dementia in Taiwan.
  • Utilize a population-based medical dataset for robust analysis.

Main Methods:

  • A cohort of 7,118 dementia patients and 21,354 matched controls from the Taiwan Longitudinal Health Insurance Database 2000.
  • Conditional logistic regression analysis adjusted for comorbidities and socioeconomic factors.
  • Bullous pemphigoid patients served as a control for inflammatory conditions.

Main Results:

  • A higher prevalence of psoriasis was observed in the dementia group (3.0%) compared to the control group (1.5%).
  • Individuals with dementia had a significantly higher odds ratio (OR) for prior psoriasis (OR = 1.46, 95% CI 1.23-1.73).
  • Psoriasis with arthritis showed a stronger association with dementia (OR = 1.95) than psoriasis without arthritis (OR = 1.44).

Conclusions:

  • The study found a significant association between a prior diagnosis of psoriasis and dementia in the Taiwanese population.
  • No significant association was found between bullous pemphigoid and dementia.
  • Further research is needed to confirm these findings and elucidate the underlying mechanisms linking psoriasis and dementia.