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Facial involvement and the severity of psoriasis
Adriana N Passos1, Vitória R P de A Rêgo1,2, Gleison V Duarte2
1Medical School of Bahia, Federal University of Bahia (FAMEB/UFBa), Salvador, BA, Brazil.
International Journal of Dermatology
|July 27, 2019
Summary
Facial psoriasis lesions indicate more severe disease. Identifying facial involvement is crucial for treatment decisions in psoriasis patients, impacting disease management and quality of life.
Area of Science:
- Dermatology
- Clinical Research
Background:
- Psoriasis is a chronic inflammatory skin condition affecting 0-6.6% globally.
- Facial lesions are often overlooked but may predict disease severity.
Purpose of the Study:
- To compare psoriasis severity (PASI) and quality of life (DLQI) in patients with and without facial lesions.
Main Methods:
- Cross-sectional study of 126 patients (63 with and 63 without facial lesions).
- Data collected from April 2014 to January 2016.
- Psoriasis Area and Severity Index (PASI) and Dermatology Life Quality Index (DLQI) were used for assessments.
Main Results:
- 50% of patients had facial lesions, most commonly on the pinna.
- Mean PASI was 14.0 (with facial lesions) vs. 6.0 (without).
- Mean DLQI was 7.5 (with facial lesions) vs. 4.7 (without).
Conclusions:
- Facial involvement in psoriasis is a significant marker of increased disease severity.
- Identifying facial lesions is important for guiding therapeutic decisions in psoriasis management.
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