Nail involvement is a common, devastating and embarrassing feature in the course of psoriasis. Nail psoriasis has a substantial psychosocial impact. Although the burden of psoriasis has been described extensively in the literature, the burden of illness associated with PsA has not been as well quantified. 10 Manifestations of PsA contribute to disease burden in terms of negative effects on patients’ psychological and psychosocial functioning, dissatisfaction with the management of their disease, and a negative impact on daily living activities. The burden of physical disability is substantial in patients with PsA. Severe nail disease is also associated with functional impairment (higher HAQ scores), higher depression scores, and higher anxiety scores. Nail involvement is associated with significant physical and psychological consequences for a substantial number of psoriasis patients.
The Psychosocial Burden of Psoriasis on ResearchGate, the professional network for scientists. American Journal of Clinical Dermatology (Impact Factor: 2.73). Results: Psoriatic patients have different perceptions and experiences in relation to their condition: half of them consider psoriasis as a disease, while the other half consider psoriasis as a disorder or a nuisance. In addition, two psychological distress indexes (i.e., Psoriasis Life Stress Inventory, 12-item General Health Questionnaire) were assessed. Psoriasis has a substantial impact on patients’ lives.
Psychological disturbances and psychiatric co-morbidities. Psoriasis has a profound impact on patients’ everyday life. Substantial improvement of psoriasis on the right thumbnail after the first injection of ustekinumab. I have read the full article associated with this CME. Conclusions: Psoriasis has an immense impact on the life of patients and common comorbidities in psoriasis including coronary heart disease, depression, cerebrovascular disease, and metabolic syndrome. Quality of life improves if these psychological aspects are also properly dealt with. 6 Triggers/exacerbating factors or alleviating factors may be identified.7 Psoriasis affects nails and skin and may affect joints.8,9 Race, geographic location, and ethnic backgrounds are some of the important factors influencing the prevalence of psoriasis. Psoriasis is common, carries a substantial burden even when not extensive, and is associated with widespread treatment dissatisfaction.
It is known that psoriasis on visible areas of the skin, such as the face and hands, may have a substantial negative impact on physical, psychological, and social dimensions of quality of life (QoL) 7 11. Pain in nail psoriasis has a high association with joint pain, therefore the presence of nail psoriasis may identify patients who are at risk of developing disabling PsA 13. The impact of nail psoriasis on individual patients can be high. The onset of the disease before 30 years of age was significantly associated with a higher incidence of family history of psoriasis, a more severe and extensive cutaneous involvement, and greater psychosocial impact. Guttate psoriasis, nail involvement, evidence of precipitating factors, and a recurrent clinical course were more frequent in this group of patients. BACKGROUND: Psoriasis is a common disease with substantial effects on quality of life. The prevalence of psoriasis in African Americans has been previously reported as rare.