Thyroid dysfunction in patients with psoriasis: A case-control study from a tertiary care centre in South India

Authors : Senthil Kumar AL, K Sridevi, Haritha Bandaru, Akshay Jain Salecha, DVSB Ramamurthy

DOI : 10.18231/j.pjms.2022.124

Volume : 12

Issue : 3

Year : 2022

Page No : 668-671

Background: Psoriasis is an immune-arbitrated cutaneous disorder in which both genetic and habitational factors play a decisive role. Certain endocrinological disturbances like thyroid dysfunction can exacerbate the disease. This research aspires in knowing the prevalence of thyroid disease in psoriatic patients and the severity of psoriasis in those with thyroid disease with age and gender-evened controls.
Materials and Methods: This was a case-referent study encompassing 100 adult psoriasis patients and 100 age and gender-evened healthy controls. The statistical differences between proportions were determined by chi-square analysis. A P-value of <0> Results: In the current study, thyroid dysfunction was present in 20 % of cases and 8% of controls and serum TSH levels were significant among cases, with a p-value of 0.046. There was a clear association betwixt the psoriasis area severity index (PASI) and presence of thyroid dysfunction with a significant P-value of < 0> Conclusion: Observations from our study provide compelling evidence that psoriasis is associated with thyroid dysfunction, which may affect the quality of life, as we documented higher PASI scores in psoriatics with thyroid dysfunction than those with normal thyroid function. It also highlights the importance of adopting a multidimensional approach for the management of psoriasis.
 
Keywords: Hyperthyroidism, Hypothyroidism, Psoriasis, Thyroid dysfunction


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