Nail Abnormalities in Thai Psoriasis Patients with Disease Severity and Impact on Quality of Life

Authors

  • Sukhum Jiamton Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Rujee Phuardchantuk Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Chanisada Wongpraparut Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Leena Chularojmontri Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Narumol Silpa-archa Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Pranee Kasemsarn Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Kanokvalai Kulthanan Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Puan Suthipinittharm Collage of Medicine and Public Health, Ubon Rajathanee University, Ubon Rajathanee 34000, Thailand.

Abstract

Background: Nail abnormalities are common in psoriasis. The relationship between nail abnormalities and disease severity or impact on quality of life has scarcely been reported.
Objectives: The aims of this study were to find the proportion and types of nail abnormalities among Thai psoriasis patients and to assess the association between nail abnormalities, disease severity and the quality of life.

Methods: A retrospective medical record review of 1,027 psoriasis patients who attended the dermatology clinic from Fe- bruary 2005 to May 2008 was performed. Demographic data, type of nail abnormalities and severity of psoriasis as well as the dermatology life quality index (DLQI) were recorded.
Results: Nail abnormalities in Thai psoriasis patients were diagnosed in 63.4% of them. The most common type was ony- cholysis (45.9%) followed by nail pittings (42.8%). Nail abnormalities were significantly associated with higher psoriasis area severity index (PASI) with adjusted odds ratio of 2.45 (95% CI 1.86-3.23, p<0.001) and associated with DLQI with adjusted odds ratio of 1.61 (95% CI 1.00-2.58, p=0.05).

Conclusion: Nail abnormalities in psoriasis are common and associated with disease severity and quality of life of patients.

Keywords: Psoriasis, nail abnormalities, quality of life 

Siriraj Med J 2014;66:21-24 

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Published

01-01-2014

How to Cite

Jiamton, S., Phuardchantuk, R., Wongpraparut, C., Chularojmontri, L., Silpa-archa, N., Kasemsarn, P., Kulthanan, K., & Suthipinittharm, P. (2014). Nail Abnormalities in Thai Psoriasis Patients with Disease Severity and Impact on Quality of Life. Siriraj Medical Journal, 66(1). Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/55290

Issue

Vol. 66 No. 1 (2014): January-February

Section

Original Article

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