Psoriasis Impact In Quality Of Life

1346 Words6 Pages
Psoriasis impact in quality of life Susana Mandel Florida International University Psoriasis impact in quality of life Psoriasis is a disease with a chronic evolution in which well demarcated plaques with erythema and silvery scales are present on the skin. This is the result of interactions between immunological and genetic factors that can be triggered by the environment (McCance, 2010; Green, 2011). Nails, scalp and joints can also be involved. Psoriasis is considered severe when 10% or more of the body surface is affected, and when hands and feet are involved, because it interferes with activities of daily living (Gelfand, 2004). It is estimated that more than 3% of the American population suffers from psoriasis (National Institute of Arthritis and Musculoeskeletal and Skin Diseases, 2009). Diseases that occur with psoriasis include cardiovascular disease, inflammatory bowel disease, diabetes, and lymphoma (Menter, 2008). Psoriasis is a large problem for the normal functioning of daily living for more than 60% of individuals with the disease (National Psoriasis Fundation, n.d.). Psoriasis results from an altered regulation of inflammation due to abnormal activation of T-cells and a genetic predisposition (Menter, 2008). The chromosomal loci identified in psoriasis are the PSOR I-VIII. PSOR I (HLA-CW6 allele) is the major susceptibility gene for psoriasis. Drugs, skin trauma, stress, and infection are important triggers of the disease (Menter, 2008). T-cells produce interferon gamma and interleukins (6, 12, 15, 17, 22 and 23) and tumor necrosis factor (TNF) after they are activated (McCance, 2010). Inflammation of the lesions set up keratinocytes that originate in the basal layer to hyperproliferate and continue the disease activity (Menter, 2008). The fast proliferation of the cells does not permit time for the cells to mature and

More about Psoriasis Impact In Quality Of Life

Open Document