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Updated: May 24, 2025

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Increased Risk of Dermatomyositis in Patients with Psoriasis: A Retrospective Cohort Study
Miao Chen1, Na Tian1, Ran Cui1
1Department of Rheumatology and Immunology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Patients with psoriasis face an increased risk of developing dermatomyositis. This risk is particularly elevated in those with psoriatic arthritis or treated with interleukin-17 inhibitors.
Area of Science:
- Dermatology
- Rheumatology
- Epidemiology
Background:
- Psoriasis is a chronic inflammatory condition.
- Dermatomyositis is an idiopathic inflammatory myopathy.
- The association between psoriasis and dermatomyositis requires further investigation.
Purpose of the Study:
- To investigate the risk of dermatomyositis in patients with psoriasis.
- To compare dermatomyositis incidence between psoriasis patients and a matched non-psoriasis cohort.
Main Methods:
- Utilized the TriNetX database (2002-2022) including individuals aged ≥20 years.
- Employed propensity score matching (PSM) for 1:1 cohort comparison.
- Applied Kaplan-Meier curves and Cox proportional hazard models for risk assessment.
Main Results:
- Patients with psoriasis showed a significantly higher risk of dermatomyositis (HR: 2.41).
- Psoriatic arthritis patients had an increased incidence (HR: 1.73).
- Interleukin-17 inhibitor (IL-17i) treated patients exhibited a markedly higher risk (HR: 5.79).
Conclusions:
- Psoriasis is associated with an elevated risk of dermatomyositis.
- Psoriatic arthritis and IL-17i treatment further increase this risk.
- Findings highlight the need for vigilance in monitoring dermatomyositis in psoriasis patients.
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