Bartosińska Joanna, Szepietowski Jacek C, Raczkiewicz Dorota, Griffiths Christopher E M, Ashcroft Darren M, Wright Alison K, Podwójcic Krzysztof, Turcza Jakub, Maluchnik Michał, Chłoń-Domińczak Agnieszka, Krasowska Dorota
Department of Dermatology, Venereology and Pediatric Dermatology, Medical University of Lublin, Lublin, Poland.
Department of Cosmetology and Aesthetic Medicine, Medical University of Lublin, Lublin, Poland.
Int J Dermatol. 2025 Sep;64(9):1599-1606. doi: 10.1111/ijd.17848. Epub 2025 May 19.
Although the data on psoriasis epidemiology included in the Global Psoriasis Atlas (GPA) provide valuable information on psoriasis prevalence worldwide, the GPA database is still incomplete. Therefore, the aim of the study was to assess the prevalence, incidence, and mortality rates of psoriasis and its types in Poland based on the data registered by the National Health Fund (NHF).
The study included psoriasis patients registered at least twice in the Polish NHF database between 2010 and 2023.
At the end of 2023, 639,662 living psoriasis patients had been registered in the Polish NHF database, which constituted 1.70% of the Polish general population. The percentage of female psoriasis patients was found to be higher (54.95%) than male patients (45.05%). Of all the Polish NHF-registered psoriasis patients, plaque psoriasis affected 95.66%, pustular psoriasis 3.05%, psoriatic arthritis 7.20%, and guttate psoriasis 0.27%. In comparison to the general Polish population, psoriasis prevalence was observed to be lower in children (0.84%). The all-cause mortality rate among psoriasis patients was found to be higher in comparison to the general Polish population, with a higher mortality rate noted in male psoriasis patients.
The NHF database we studied suggests a direct relationship between the prevalence, incidence, and all-cause mortality rates in psoriasis and patients' age and sex. However, the study also revealed a decrease in mortality rates and a slow increase in the prevalence of psoriasis in the Polish population, which calls for further studies.
尽管《全球银屑病地图集》（GPA）中包含的银屑病流行病学数据提供了全球银屑病患病率的宝贵信息，但GPA数据库仍不完整。因此，本研究的目的是根据国家卫生基金（NHF）登记的数据评估波兰银屑病及其各类型的患病率、发病率和死亡率。
该研究纳入了2010年至2023年间在波兰NHF数据库中至少登记过两次的银屑病患者。
截至2023年底，波兰NHF数据库中登记了639,662名在世的银屑病患者，占波兰总人口的1.70%。发现女性银屑病患者的比例（54.95%）高于男性患者（45.05%）。在所有波兰NHF登记的银屑病患者中，斑块状银屑病患者占95.66%，脓疱型银屑病患者占3.05%，银屑病关节炎患者占7.20%，点滴状银屑病患者占0.27%。与波兰普通人群相比，儿童中的银屑病患病率较低（0.84%）。银屑病患者的全因死亡率高于波兰普通人群，男性银屑病患者的死亡率更高。
我们研究的NHF数据库表明，银屑病的患病率、发病率和全因死亡率与患者的年龄和性别之间存在直接关系。然而，该研究还揭示了波兰人群中银屑病死亡率的下降和患病率的缓慢上升，这需要进一步研究。
