THE PATTERN AND CLINICAL STATUS OF PSORIASIS IN BANGLADESHI PATIENTS

Dr. Muhammed Kamrul Hassan*, Dr. Mohammad Anwarul Hassan, Dr. Afsana Nahid, Dr. Mohammed Emdadul Haque, Dr. Md. Ibrahim Khalil, Dr. Md. Shamim Parvej Ibne Halim and Prof. Dr. Anjuman Ara

ABSTRACT

Background: Psoriasis is a chronic, papulosquamous disorder of the skin with variable morphology, characterized by periods of remission and reactivity. Objective: In this study our main goal is to evaluate the pattern and clinical status of psoriasis. Method: This is a prospective observational study was conducted among 100 dermatology patients with features of psoriasis who attended the dermatology outpatient clinic of the hospital from January 2021 to January 2022. Data were obtained from the patients' clinic notes and the clinic protocol for all psoriasis patients seen during the study period. Results: During the study, most of the patients belongs to 18-30 years age group and 60% were male. The percentage of different type of psoriasis was plaque type 75%, guttate 6%, flexural 4%, sebo-psoriasis 4%, pustular 4%, linear 3%, only nail psoriasis 2% and erythrodermic 2%. Single site was involved in 44% and multiple sites in 56% cases. Sites of involvement were trunk 60%, extremity 50%, scalp 30%, palmo-plantar 20%, joint 13%, nail 12%, face only 3%, lips 3%, post auricular region 5%. Severity of the disease was mild (<10% BSA) in 43% cases, moderate (10-30%) in 40% and severe (>30%) in 17% cases. Conclusion: This study highlights some of the common triggers of psoriasis in our patients apart from bringing to fore the clinical characteristics and confirming the increasing frequency of psoriasis in Bangladeshi patients. This is important in view of the current trend in the management of psoriasis, which is focused on managing the modifiable environmental triggers along with treating the inflammatory processes.

Keywords: Psoriasis, dermatology, chronic diseases.