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Psoriasis in the geriatric population: A retrospective study in Asians
Author(s) -
Tseng ILun,
Yang ChaoChun,
Lai Edward ChiaCheng,
Lee ChawNing
Publication year - 2021
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/1346-8138.15737
Subject(s) - psoriasis , medicine , psoriatic arthritis , population , age of onset , dermatology , retrospective cohort study , pediatrics , disease , environmental health
There is a paucity of data focusing on geriatric psoriatic patients. The clinical features were different among those with early‐onset psoriasis and elderly‐onset psoriasis among the geriatric population. From 2014 to 2018, a total of 290 geriatric psoriatic patients were retrospectively enrolled in our study. They were subclassified into two groups, early‐onset (aged <60 years, n = 154) and elderly‐onset (aged ≥60 years, n = 136). The characteristics and treatment course of these two groups were reviewed. Psoriasis of the elderly‐onset group was generally milder than the early‐onset groups ( P < 0.05). Less nail involvement and arthritis were noted among the elderly‐onset group ( P < 0.05). There were four cases of erythrodermic psoriasis in the early‐onset group and three cases of palmoplantar psoriasis in the elderly‐onset group. Oral medication and biologics for treatment of psoriasis appeared to be safe among the geriatric psoriatic patients. Elderly‐onset psoriasis has features which are distinct from early‐onset psoriasis and may be a particular subtype, which needs further evaluation.