Oral Lesions and Oral Health-Related Quality of Life in Adult Patients with Psoriasis: A Retrospective Chart Review
Psoriasis is a widespread chronic inflammatory skin disease, that negatively affects physical and emotional well-being and quality of life, as shown by the generally low Dermatology Life Quality Index (DLQI). Psoriasis is burdened by associated comorbidities and some patients manifest concurrent ora...
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MDPI AG
2024-03-01
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| Online Access: | https://www.mdpi.com/2075-1729/14/3/347 |
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| author | Federica Di Spirito Annunziata Raimondo Maria Pia Di Palo Stefano Martina Mario Fordellone Donato Rosa Massimo Amato Serena Lembo |
| author_facet | Federica Di Spirito Annunziata Raimondo Maria Pia Di Palo Stefano Martina Mario Fordellone Donato Rosa Massimo Amato Serena Lembo |
| author_sort | Federica Di Spirito |
| collection | DOAJ |
| description | Psoriasis is a widespread chronic inflammatory skin disease, that negatively affects physical and emotional well-being and quality of life, as shown by the generally low Dermatology Life Quality Index (DLQI). Psoriasis is burdened by associated comorbidities and some patients manifest concurrent oral lesions, although the existence of oral psoriasis remains controversial. Psoriasis-specific and nonspecific oral lesions and Oral Health-Related Quality of Life (OHRQoL), self-assessed using the Oral Health Impact Profile-14 (OHIP-14) questionnaire, were retrospectively reviewed in adult untreated psoriasis patients with ≥15 teeth, who were non-smokers and had no dental or periodontal infections. Sample (age, gender, comorbidities) and descriptive variables (Body Surface Area-BSA, Psoriasis Area and Severity Index-PASI, Dermatology Life Quality Index-DLQI, severity of psoriasis, distribution of lesions and predominant involvement, years since diagnosis) were correlated with DLQI and OHIP-14 and compared by baseline DLQI and OHRQoL classes. Charts from 90 participants were included. No oral lesions were detected, and excellent/good OHRQoL was found in 94% of the participants. DLQI scores displayed positive significant associations with PASI and BSA, while OHIP-14 with hypertension and IMID, and age. PASI and BSA were significantly higher in participants with DLQI > 10 and also differed significantly among OHQRoL ranks, as well as mucosal involvement and comorbidities. Specifically, among subjects revealing an Excellent OHQRoL, 92.6% were non-IMID, 75% non-hypertensive, 89.7% non-diabetic subjects, 86.8% of non CVD-subjects. |
| first_indexed | 2024-04-24T18:04:49Z |
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| language | English |
| last_indexed | 2024-04-24T18:04:49Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-6d6ee22254f147bb970b07ad8b83f9a42024-03-27T13:51:12ZengMDPI AGLife2075-17292024-03-0114334710.3390/life14030347Oral Lesions and Oral Health-Related Quality of Life in Adult Patients with Psoriasis: A Retrospective Chart ReviewFederica Di Spirito0Annunziata Raimondo1Maria Pia Di Palo2Stefano Martina3Mario Fordellone4Donato Rosa5Massimo Amato6Serena Lembo7Department of Medicine, Surgery and Dentistry, University of Salerno, 84084 Baronissi, ItalyDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84084 Baronissi, ItalyDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84084 Baronissi, ItalyDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84084 Baronissi, ItalyDepartment of Mental, Physical Health and Preventive Medicine, Università degli Studi della Campania “Luigi Vanvitelli”, 80138 Napoli, ItalyDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84084 Baronissi, ItalyDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84084 Baronissi, ItalyDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84084 Baronissi, ItalyPsoriasis is a widespread chronic inflammatory skin disease, that negatively affects physical and emotional well-being and quality of life, as shown by the generally low Dermatology Life Quality Index (DLQI). Psoriasis is burdened by associated comorbidities and some patients manifest concurrent oral lesions, although the existence of oral psoriasis remains controversial. Psoriasis-specific and nonspecific oral lesions and Oral Health-Related Quality of Life (OHRQoL), self-assessed using the Oral Health Impact Profile-14 (OHIP-14) questionnaire, were retrospectively reviewed in adult untreated psoriasis patients with ≥15 teeth, who were non-smokers and had no dental or periodontal infections. Sample (age, gender, comorbidities) and descriptive variables (Body Surface Area-BSA, Psoriasis Area and Severity Index-PASI, Dermatology Life Quality Index-DLQI, severity of psoriasis, distribution of lesions and predominant involvement, years since diagnosis) were correlated with DLQI and OHIP-14 and compared by baseline DLQI and OHRQoL classes. Charts from 90 participants were included. No oral lesions were detected, and excellent/good OHRQoL was found in 94% of the participants. DLQI scores displayed positive significant associations with PASI and BSA, while OHIP-14 with hypertension and IMID, and age. PASI and BSA were significantly higher in participants with DLQI > 10 and also differed significantly among OHQRoL ranks, as well as mucosal involvement and comorbidities. Specifically, among subjects revealing an Excellent OHQRoL, 92.6% were non-IMID, 75% non-hypertensive, 89.7% non-diabetic subjects, 86.8% of non CVD-subjects.https://www.mdpi.com/2075-1729/14/3/347psoriasisskin diseasesquality of lifeoral lesionsmouthoral health |
| spellingShingle | Federica Di Spirito Annunziata Raimondo Maria Pia Di Palo Stefano Martina Mario Fordellone Donato Rosa Massimo Amato Serena Lembo Oral Lesions and Oral Health-Related Quality of Life in Adult Patients with Psoriasis: A Retrospective Chart Review Life psoriasis skin diseases quality of life oral lesions mouth oral health |
| title | Oral Lesions and Oral Health-Related Quality of Life in Adult Patients with Psoriasis: A Retrospective Chart Review |
| title_full | Oral Lesions and Oral Health-Related Quality of Life in Adult Patients with Psoriasis: A Retrospective Chart Review |
| title_fullStr | Oral Lesions and Oral Health-Related Quality of Life in Adult Patients with Psoriasis: A Retrospective Chart Review |
| title_full_unstemmed | Oral Lesions and Oral Health-Related Quality of Life in Adult Patients with Psoriasis: A Retrospective Chart Review |
| title_short | Oral Lesions and Oral Health-Related Quality of Life in Adult Patients with Psoriasis: A Retrospective Chart Review |
| title_sort | oral lesions and oral health related quality of life in adult patients with psoriasis a retrospective chart review |
| topic | psoriasis skin diseases quality of life oral lesions mouth oral health |
| url | https://www.mdpi.com/2075-1729/14/3/347 |
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