在马哈拉施特拉邦西部一家三级医院就诊的银屑病患者中干眼症的发病率

K. J. Dange, Kanchan Bala Rathore, Praneet Awake
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摘要

:0.5-11.4% 的成年人患有牛皮癣。银屑病是由一连串复杂的免疫细胞和细胞因子引起的,其中包括肿瘤坏死因子(TNF)、白细胞介素(IL)-17、22 和 23。银屑病会引起全身炎症,从而导致关节炎、心血管疾病和代谢综合征。我们的研究探讨了马哈拉施特拉邦西部一家三级医院银屑病患者的干眼症。我们对一家三级医院皮肤科和眼科门诊的银屑病患者进行了横断面研究。患者年龄从 20 岁到 60 岁不等。对患者的眼球前后节段进行了检查,并对干眼症进行了评估。对 OSDI、Schirmer 试验、TBUT 以及角膜和结膜染色进行了评分。已获得 PASI 分数。干眼症程度采用 Dews 干眼症分级系统进行评估。63.1%的人患有干眼症。其中 24.4% 的人有轻度干眼症。中度干眼症占 46.3%,重度干眼症占 29.3%。PASI 评分与干眼症没有统计学意义(P=0.355)。PASI 评分在 10 到 25 分之间表示干眼症最严重,其次是 10 分(29 只眼睛)和大于 25 分(23 只眼睛)。(23眼)。共有 81.5% 的眼睛 OSDI 评分异常,56.2% 的眼睛 TBUT 评分异常,49.2% 的眼睛 Schirmer 测试结果异常。银屑病患者的干眼症需要皮肤科医生和眼科医生联手进行综合治疗。银屑病,尤其是久治不愈的银屑病,可导致睑板腺功能障碍。
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The prevalence of dry eye in patients with psoriasis attending a tertiary care hospital in western Maharashtra
: Psoriasis affects 0.5–11.4% of adults. Psoriasis is caused by a complicated chain of immune cells and cytokines, containing tumour necrosis factors (TNF), interleukin (IL)-17, 22, and 23. Psoriasis causes systemic inflammation, which can cause arthritis, cardiovascular disease, and metabolic syndrome. Our study explores dry eye in Western Maharashtra's psoriasis patients at a tertiary care hospital. A tertiary care hospital outpatient dermatology and ophthalmology department psoriasis patients were included in a cross-sectional research. Patient ages spanned from 20 to 60 years. The anterior and posterior ocular segments were examined, and dry eye was assessed. OSDI, Schirmer's test, TBUT, and corneal and conjunctiva staining has been scored. The PASI score has been received. Degree of dry eye was assessed using Dews dry eye grading system. Dry eye was present in 63.1 percent of people. Cases included 24.4% with mild dryness in their eyes. Moderate dryness made up 46.3% of cases, and severe dryness made up 29.3% of cases. The PASI score and dry eye did not have a statistically significant connection (P=0.355). A PASI score of 10 to 25 indicated the most severe case of dry eye, followed by a score of 10 (29 eyes) and >25. (23 eyes). A total of 81.5 percent of eyes had abnormal OSDI scores, 56.2 percent had abnormal TBUT scores, and 49.2 percent had abnormal Schirmer Test results. Dry eye in psoriasis patients requires dermatologist-ophthalmologist teamwork for comprehensive therapy. Psoriasis, especially in long-lasting cases, can lead to meibomian gland dysfunction.
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