How does psoriasis affect quality of life?

Updated: Mar 17, 2021
  • Author: Jacquiline Habashy, DO, MSc; Chief Editor: William D James, MD  more...
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Psoriasis can significantly influence a person’s quality of life. The physical and mental disability experienced with this disease can be comparable or in excess of that found in patients with other chronic illnesses such as cancer, arthritis, hypertension, heart disease, diabetes, and depression. A study by Kurd et al further supports the notion that psoriasis impacts quality of life and potentially long-term survival. [26] There should be a higher clinical suspicion for depression in the patient with psoriasis.

While the clinical presentation of psoriasis, and whatever improvements are made during therapy, is usually measured using the PASI (Psoriasis Area and Severity Index) score, measurement of the effect on the quality of life of the psoriasis patient may be better assessed by the DLQI (Dermatology Life Quality Index) or the CDLQI (Children’s Dermatology Life Quality Index). Measurements using these tools generally show improved quality of life with more aggressive treatment such as systemic agents. [27, 28]

Studies show that psoriasis of the palms and soles tend to have greater impact on the patient’s quality of life compared to those with more extensive psoriatic involvement not involving the palms and soles. [29, 30]

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