Napolitano M, Mastroeni S, Fania L, Pallotta S, Fusari R, Uras C, Panebianco A, Cavani A, Sampogna F, Abeni D. Sex- and gender-associated clinical and psychosocial characteristics of patients with psoriasis.
Clin Exp Dermatol 2020;
45:705-711. [PMID:
32170752 DOI:
10.1111/ced.14218]
[Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/11/2020] [Indexed: 12/30/2022]
Abstract
BACKGROUND
Sex and gender may affect disease prevalence, adverse effects and response to therapy.
AIM
To analyse sex and gender differences in outpatients with psoriasis.
METHODS
A cross-sectional study was conducted at IDI-IRCCS, Rome, over a 3-year period. In total, 3023 patients with psoriasis were enrolled. Anthropometric and demographic characteristics were recorded, and a dermatologist evaluated the clinical severity of disease. Quality of life (QoL) questionnaires were collected. Univariate and multivariate analyses were performed to examine factors associated with sex.
RESULTS
We found sex- and gender-associated differences in clinical characteristics, disease severity, psychological distress and quality of life. Male sex was associated with body mass index, smoking, alcohol consumption, Psoriasis Area Severity Index ≥ 10 and age at onset ≥ 20 years. Female sex was associated with family history of diabetes, joint involvement, clinical type other than diffuse plaque psoriasis, higher psychological distress and a greater effect on QoL.
CONCLUSION
Our study identified sex and gender differences of potential clinical relevance in psoriasis.
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