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接受窄谱中波紫外线光疗的老年银屑病患者的社会人口学和临床特征

Sociodemographic and Clinical Characteristics of Geriatric Patients with Psoriasis Receiving Narrowband Ultraviolet B Phototherapy.

作者信息

Legiawati Lili, Astriningrum Rinadewi, Yusharyahya Shannaz Nadia, Chandrakesuma Vivianne

机构信息

Department of Dermatovenereology, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine University of Indonesia, Central Jakarta, Indonesia.

出版信息

Ann Geriatr Med Res. 2020 Dec;24(4):290-296. doi: 10.4235/agmr.20.0048. Epub 2020 Dec 25.

Abstract

BACKGROUND

Although the demographic and clinical characteristics of patients with psoriasis have been evaluated in many countries, studies specifically on geriatric patients remain scarce and none have focused on those receiving phototherapy. This study describes the sociodemographic and clinical characteristics of geriatric patients with psoriasis in Indonesia, specifically those who received narrowband ultraviolet B (NB-UVB) phototherapy.

METHODS

This retrospective study using data obtained from phototherapy and medical records of psoriasis patients who received phototherapy in 2014-2019 was conducted at the Dermatovenereology Clinic of Dr. Cipto Mangunkusumo National General Hospital.

RESULTS

Among 24 geriatric patients with psoriasis who received NB-UVB phototherapy, the median age of onset was 61 years (range, 36-74 years). Regarding comorbidities, 15 patients (62.5%) had dyslipidemia, 15 patients (62.5%) had hypertension, 11 patients (45.8%) had obesity, 9 patients (37.5%) had periodontitis/gingivitis, 9 patients (37.5%) had type 2 diabetes mellitus, and 6 patients (25.0%) had hyperuricemia.

CONCLUSION

Some comorbidities have been associated with psoriasis, including metabolic syndrome and periodontitis. The data from this study could help physicians in evaluating and making appropriate clinical decisions when managing psoriasis patients in the geriatric population.

摘要

背景

尽管许多国家已对银屑病患者的人口统计学和临床特征进行了评估,但专门针对老年患者的研究仍然很少,且尚无研究聚焦于接受光疗的老年患者。本研究描述了印度尼西亚老年银屑病患者的社会人口统计学和临床特征,特别是那些接受窄谱中波紫外线(NB-UVB)光疗的患者。

方法

本回顾性研究使用了2014年至2019年期间在西托·曼贡库苏莫国家总医院皮肤科性病门诊接受光疗的银屑病患者的光疗数据和病历。

结果

在24例接受NB-UVB光疗的老年银屑病患者中,发病年龄中位数为61岁(范围36 - 74岁)。关于合并症,15例患者(62.5%)患有血脂异常,15例患者(62.5%)患有高血压,11例患者(45.8%)患有肥胖症,9例患者(37.5%)患有牙周炎/牙龈炎,9例患者(37.5%)患有2型糖尿病,6例患者(25.0%)患有高尿酸血症。

结论

一些合并症与银屑病有关,包括代谢综合征和牙周炎。本研究的数据有助于医生在管理老年银屑病患者时进行评估并做出适当的临床决策。

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本文引用的文献

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Real-world burden of comorbidities in US patients with psoriasis.美国银屑病患者合并症的真实世界负担。
J Am Acad Dermatol. 2017 Aug;77(2):287-292.e4. doi: 10.1016/j.jaad.2017.03.037. Epub 2017 Jun 13.
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Psoriasis and comorbid diseases: Implications for management.银屑病及其合并症:对治疗的启示。
J Am Acad Dermatol. 2017 Mar;76(3):393-403. doi: 10.1016/j.jaad.2016.07.065.
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Risk of periodontitis in patients with psoriasis and psoriatic arthritis.银屑病和银屑病关节炎患者患牙周炎的风险。
J Eur Acad Dermatol Venereol. 2017 Feb;31(2):288-293. doi: 10.1111/jdv.13814. Epub 2016 Jul 21.

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