Bedi T R
Tirath Ram Shah Hospital, Delhi-54, India.
Indian J Dermatol Venereol Leprol. 1995 Jul-Aug;61(4):202-5.
A prospective study of 530 patients of psoriasis drawn from northern parts of India revealed a male preponderance; 60% patients having onset before the age of 30 years; youngest age at onset being one week and the oldest 72 years. Family history was positive in 14% cases. Only 30% psoriatics showed clear cut worsening in winter months. Skin and scalp were the commonest sites; 54% had nail changes when first seen and in 8 patients involvement of nails was the only manifestation of psoriasis. Joint symptoms were present in 10% of cases but frank arthritis was seen in only 7 cases. The presence of joint affection was invariably associated with nail abnormalities. Psoriatic arthritis among the Indian patients is not only rare but shows a milder course as compared to the western countries.
一项对来自印度北部的530名银屑病患者的前瞻性研究显示，男性居多；60%的患者在30岁之前发病；发病年龄最小为1周，最大为72岁。14%的病例有家族史。只有30%的银屑病患者在冬季病情明显加重。皮肤和头皮是最常见的发病部位；初诊时54%的患者有指甲改变，8名患者仅表现为指甲受累。10%的病例有关节症状，但仅7例出现明显关节炎。关节受累总是与指甲异常相关。与西方国家相比，印度患者中的银屑病关节炎不仅罕见，而且病程较轻。
