Assessment of Retinal Vasculature in Patients with Psoriasis

Background: Psoriasis is a chronic inflammatory skin disease that results from excessive proliferation of the underlying epidermis; however, the etiology of this disease is still unknown. Even though vision-threatening ophthalmic complications are very rare, about 10% of people with psoriasis have e...

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Main Authors: Alaa Laban, Rabie Atallah, Ramadan Eldahshan, Younes Abd Elhafez
Format: Article
Language:English
Published: Al-Azhar University, Faculty of Medicine (Damietta) 2022-11-01
Series:International Journal of Medical Arts
Subjects:
Online Access:https://ijma.journals.ekb.eg/article_287661_bfa788d7be6b7cd6e088304c76c33d10.pdf
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author Alaa Laban
Rabie Atallah
Ramadan Eldahshan
Younes Abd Elhafez
author_facet Alaa Laban
Rabie Atallah
Ramadan Eldahshan
Younes Abd Elhafez
author_sort Alaa Laban
collection DOAJ
description Background: Psoriasis is a chronic inflammatory skin disease that results from excessive proliferation of the underlying epidermis; however, the etiology of this disease is still unknown. Even though vision-threatening ophthalmic complications are very rare, about 10% of people with psoriasis have eye problems. In addition, ophthalmic complications of psoriasis are numerous and have a non-specific nature, such as blepharitis, conjunctivitis, keratitis, and xerosis. Therefore, ophthalmic involvement in psoriasis remains clinically underappreciated.Aim of the work: The objective of the current study was to evaluate the retinal vasculature in patients with moderate to severe psoriasis.Patients and methods: A descriptive cross-sectional study conducted on a total of 30 patients with moderate to severe psoriasis according to the psoriasis area severity index [PASI] score collected from the Damietta Al-Azhar dermatology clinic and the Damietta dermatology and venerology hospital.Results: Most of the studied cases were associated with no associated comorbidities [60%], followed by psoriatic arthritis [13.3%], and lastly rheumatoid arthritis, peptic ulcer, cholecystitis, and cardiac disease, representing 6.7% of each. In the context of dry eye, the current study demonstrated that: 36.7% plus one, 30% plus two, 26.7% plus three, and 6.7% plus four have dry eye. Psoriasis severity has been demonstrated to be significantly correlated with hyperemia, dry eye, cataracts, and normal retinal vasculature.Conclusion: We concluded that retinal vasculature affection had a negligible relationship with psoriasis. However, dry eye and conjunctival hyperemia were significantly correlated with the degree of psoriasis [as revealed by PASI score].
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spelling doaj.art-34642081636f4c978c241106c179415f2024-01-05T19:37:29ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802022-11-014112767277410.21608/ijma.2023.176787.1560287661Assessment of Retinal Vasculature in Patients with PsoriasisAlaa Laban0Rabie Atallah1Ramadan Eldahshan2Younes Abd Elhafez3Department of Dermatology, Damietta Dermatology and Leprosy Hospital, Ministry of Health, Damietta, EgyptDepartment of Dermatology, Venereology and Andrology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptDepartment of Dermatology, Venereology and Andrology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptDepartment of Ophthalmology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptBackground: Psoriasis is a chronic inflammatory skin disease that results from excessive proliferation of the underlying epidermis; however, the etiology of this disease is still unknown. Even though vision-threatening ophthalmic complications are very rare, about 10% of people with psoriasis have eye problems. In addition, ophthalmic complications of psoriasis are numerous and have a non-specific nature, such as blepharitis, conjunctivitis, keratitis, and xerosis. Therefore, ophthalmic involvement in psoriasis remains clinically underappreciated.Aim of the work: The objective of the current study was to evaluate the retinal vasculature in patients with moderate to severe psoriasis.Patients and methods: A descriptive cross-sectional study conducted on a total of 30 patients with moderate to severe psoriasis according to the psoriasis area severity index [PASI] score collected from the Damietta Al-Azhar dermatology clinic and the Damietta dermatology and venerology hospital.Results: Most of the studied cases were associated with no associated comorbidities [60%], followed by psoriatic arthritis [13.3%], and lastly rheumatoid arthritis, peptic ulcer, cholecystitis, and cardiac disease, representing 6.7% of each. In the context of dry eye, the current study demonstrated that: 36.7% plus one, 30% plus two, 26.7% plus three, and 6.7% plus four have dry eye. Psoriasis severity has been demonstrated to be significantly correlated with hyperemia, dry eye, cataracts, and normal retinal vasculature.Conclusion: We concluded that retinal vasculature affection had a negligible relationship with psoriasis. However, dry eye and conjunctival hyperemia were significantly correlated with the degree of psoriasis [as revealed by PASI score].https://ijma.journals.ekb.eg/article_287661_bfa788d7be6b7cd6e088304c76c33d10.pdfpsoriasispsoriasis area severity indexconjunctivitisuveitis
spellingShingle Alaa Laban
Rabie Atallah
Ramadan Eldahshan
Younes Abd Elhafez
Assessment of Retinal Vasculature in Patients with Psoriasis
International Journal of Medical Arts
psoriasis
psoriasis area severity index
conjunctivitis
uveitis
title Assessment of Retinal Vasculature in Patients with Psoriasis
title_full Assessment of Retinal Vasculature in Patients with Psoriasis
title_fullStr Assessment of Retinal Vasculature in Patients with Psoriasis
title_full_unstemmed Assessment of Retinal Vasculature in Patients with Psoriasis
title_short Assessment of Retinal Vasculature in Patients with Psoriasis
title_sort assessment of retinal vasculature in patients with psoriasis
topic psoriasis
psoriasis area severity index
conjunctivitis
uveitis
url https://ijma.journals.ekb.eg/article_287661_bfa788d7be6b7cd6e088304c76c33d10.pdf
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AT rabieatallah assessmentofretinalvasculatureinpatientswithpsoriasis
AT ramadaneldahshan assessmentofretinalvasculatureinpatientswithpsoriasis
AT younesabdelhafez assessmentofretinalvasculatureinpatientswithpsoriasis