Ocular manifestations of psoriasis: An inflammatory disease beyond the skin

Abstract Background Psoriasis is a chronic inflammatory disorder, mainly involves skin. Aims To evaluate the prevalence of ocular manifestations in Iranian patients with psoriasis, compared to healthy controls. Materials and methods Forty psoriasis patients and 40 age‐ and gender‐matched healthy con...

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Main Authors: Zeinab Aryanian, Azar Shirzadian, Parvaneh Hatami, Gholam abbas Roostayi, Sadrollah Najafi, Azadeh Goodarzi
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Journal of General and Family Medicine
Subjects:
Online Access:https://doi.org/10.1002/jgf2.576
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author Zeinab Aryanian
Azar Shirzadian
Parvaneh Hatami
Gholam abbas Roostayi
Sadrollah Najafi
Azadeh Goodarzi
author_facet Zeinab Aryanian
Azar Shirzadian
Parvaneh Hatami
Gholam abbas Roostayi
Sadrollah Najafi
Azadeh Goodarzi
author_sort Zeinab Aryanian
collection DOAJ
description Abstract Background Psoriasis is a chronic inflammatory disorder, mainly involves skin. Aims To evaluate the prevalence of ocular manifestations in Iranian patients with psoriasis, compared to healthy controls. Materials and methods Forty psoriasis patients and 40 age‐ and gender‐matched healthy controls were enrolled in the study and underwent a comprehensive ophthalmologic assessment. Results Only meibomian gland dysfunction was significantly more common among patients with psoriasis, compared to control group (p value: 0.011). Regarding intraocular pressure (IOP), the mean values for both patients and healthy controls were within the normal range and mean IOP in patients was even lower than normal controls, although this difference was significant only for left eye (p value: 0.049). A strong positive correlation between PASI and tear meniscus height for both right and left eyes (p value: 0.005, r: 0.44 for OD and p value: 0.003, r: 0.46 for OS.) was noted. Meibomian gland dysfunction was also positively correlated with disease duration for right and left palpebras (p: 0.04, r: 0.31 for both). Conclusion Psoriasis can lead to meibomian gland dysfunction, especially in patients with long‐lasting disease. Hence, dermatologists and general practitioners should be vigilant in this regard when visiting psoriasis patients, especially those who have higher PASI values or long‐lasting disease.
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spelling doaj.art-d2e96eddbf5d4b77a41adb8acafbe2af2023-01-03T07:37:16ZengWileyJournal of General and Family Medicine2189-79482023-01-01241454910.1002/jgf2.576Ocular manifestations of psoriasis: An inflammatory disease beyond the skinZeinab Aryanian0Azar Shirzadian1Parvaneh Hatami2Gholam abbas Roostayi3Sadrollah Najafi4Azadeh Goodarzi5Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences Tehran IranDepartment of Dermatology Babol University of Medical Sciences Babol IranAutoimmune Bullous Diseases Research Center Tehran University of Medical Sciences Tehran IranDepartment of Ophthalmology Babol University of Medical Sciences Babol IranStudent Research Committee Babol University of Medical Sciences Babol IranDepartment of Dermatology, School of Medicine, Rasool Akram Medical Complex Clinical Research Development Center Iran University of Medical Sciences Tehran IranAbstract Background Psoriasis is a chronic inflammatory disorder, mainly involves skin. Aims To evaluate the prevalence of ocular manifestations in Iranian patients with psoriasis, compared to healthy controls. Materials and methods Forty psoriasis patients and 40 age‐ and gender‐matched healthy controls were enrolled in the study and underwent a comprehensive ophthalmologic assessment. Results Only meibomian gland dysfunction was significantly more common among patients with psoriasis, compared to control group (p value: 0.011). Regarding intraocular pressure (IOP), the mean values for both patients and healthy controls were within the normal range and mean IOP in patients was even lower than normal controls, although this difference was significant only for left eye (p value: 0.049). A strong positive correlation between PASI and tear meniscus height for both right and left eyes (p value: 0.005, r: 0.44 for OD and p value: 0.003, r: 0.46 for OS.) was noted. Meibomian gland dysfunction was also positively correlated with disease duration for right and left palpebras (p: 0.04, r: 0.31 for both). Conclusion Psoriasis can lead to meibomian gland dysfunction, especially in patients with long‐lasting disease. Hence, dermatologists and general practitioners should be vigilant in this regard when visiting psoriasis patients, especially those who have higher PASI values or long‐lasting disease.https://doi.org/10.1002/jgf2.576dry eye syndromemeibomian gland dysfunctionocular manifestationpsoriasispsoriasis area severity index
spellingShingle Zeinab Aryanian
Azar Shirzadian
Parvaneh Hatami
Gholam abbas Roostayi
Sadrollah Najafi
Azadeh Goodarzi
Ocular manifestations of psoriasis: An inflammatory disease beyond the skin
Journal of General and Family Medicine
dry eye syndrome
meibomian gland dysfunction
ocular manifestation
psoriasis
psoriasis area severity index
title Ocular manifestations of psoriasis: An inflammatory disease beyond the skin
title_full Ocular manifestations of psoriasis: An inflammatory disease beyond the skin
title_fullStr Ocular manifestations of psoriasis: An inflammatory disease beyond the skin
title_full_unstemmed Ocular manifestations of psoriasis: An inflammatory disease beyond the skin
title_short Ocular manifestations of psoriasis: An inflammatory disease beyond the skin
title_sort ocular manifestations of psoriasis an inflammatory disease beyond the skin
topic dry eye syndrome
meibomian gland dysfunction
ocular manifestation
psoriasis
psoriasis area severity index
url https://doi.org/10.1002/jgf2.576
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AT azarshirzadian ocularmanifestationsofpsoriasisaninflammatorydiseasebeyondtheskin
AT parvanehhatami ocularmanifestationsofpsoriasisaninflammatorydiseasebeyondtheskin
AT gholamabbasroostayi ocularmanifestationsofpsoriasisaninflammatorydiseasebeyondtheskin
AT sadrollahnajafi ocularmanifestationsofpsoriasisaninflammatorydiseasebeyondtheskin
AT azadehgoodarzi ocularmanifestationsofpsoriasisaninflammatorydiseasebeyondtheskin