Manifestaciones orales en pacientes con psoriasis. Prevalencia y asociación con sus características clínicas y epidemiológicas

Altemir, Arcadi; Melé‐Ninot, Gemma; Lázaro-Simó, Anna Isabel; Iglesias‐Sancho, Maribel; Quintana-Codina, Monica; Arandes, Jorge; Carrera-Morodo, María; Salleras-Redonnet, Montse

doi:10.1016/j.ad.2022.01.002

Cited by 7 publications

(4 citation statements)

References 29 publications

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“…The justification for its association lies in the similarity of its fundamental lesions at the microscopic level and the presence of a shared genetic marker, HLA-Cw6. Microtrauma resulting from activities like chewing and speaking on the tongue may contribute to the Koebner phenomenon, potentially stimulating the appearance of the geographic tongue [ 12 ]. However, no diagnosis of geographic tongue was recorded in the participants’ dental charts.…”

Section: Discussionmentioning

confidence: 99%

“…Instead, the prevalent alterations observed in psoriasis patients by Olejnik et al included fissured tongue (approximately 40%), beyond white-coated tongue (approximately 25%), and linea alba (approximately 20%) [ 3 ]. Fissured tongue also emerged as the most prevalent abnormality observed in individuals with psoriasis in the cross-sectional study by Altemir et al [ 12 ], showing an overall prevalence ranging from 14% to 47% among psoriasis subjects across various populations. Fissured tongue, also known as lingua fissurata, lingua plicata, scrotal tongue, or grooved tongue, is clinically recognizable by an anteroposterior groove, often accompanied by multiple lateral fissures.…”

Section: Discussionmentioning

confidence: 99%

“…Although the existence of oral psoriasis remains controversial, involvement of the oral mucosa and other mucous membranes does occur, albeit rarely [ 10 , 11 ]. In any case, patients with psoriasis had a higher incidence of abnormal oral mucosa (74%) compared to the general population (46%) [ 12 ]. Nevertheless, oral psoriasis lesions have no consistent pattern [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…Nonspecific lesions of the oral mucosa of psoriasis patients mainly include a fissured tongue, which proves to be the most frequently documented oral abnormality associated with psoriasis, followed by geographic tongue and other oral manifestations whose association is not clear, such as cheilitis, leukokeratosis, erythematous macules, fibromas, and depapillation of the tongue [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Oral Lesions and Oral Health-Related Quality of Life in Adult Patients with Psoriasis: A Retrospective Chart Review

Di Spirito,

Raimondo,

Di Palo

et al. 2024

Life

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Psoriasis is a widespread chronic inflammatory skin disease, that negatively affects physical and emotional well-being and quality of life, as shown by the generally low Dermatology Life Quality Index (DLQI). Psoriasis is burdened by associated comorbidities and some patients manifest concurrent oral lesions, although the existence of oral psoriasis remains controversial. Psoriasis-specific and nonspecific oral lesions and Oral Health-Related Quality of Life (OHRQoL), self-assessed using the Oral Health Impact Profile-14 (OHIP-14) questionnaire, were retrospectively reviewed in adult untreated psoriasis patients with ≥15 teeth, who were non-smokers and had no dental or periodontal infections. Sample (age, gender, comorbidities) and descriptive variables (Body Surface Area-BSA, Psoriasis Area and Severity Index-PASI, Dermatology Life Quality Index-DLQI, severity of psoriasis, distribution of lesions and predominant involvement, years since diagnosis) were correlated with DLQI and OHIP-14 and compared by baseline DLQI and OHRQoL classes. Charts from 90 participants were included. No oral lesions were detected, and excellent/good OHRQoL was found in 94% of the participants. DLQI scores displayed positive significant associations with PASI and BSA, while OHIP-14 with hypertension and IMID, and age. PASI and BSA were significantly higher in participants with DLQI > 10 and also differed significantly among OHQRoL ranks, as well as mucosal involvement and comorbidities. Specifically, among subjects revealing an Excellent OHQRoL, 92.6% were non-IMID, 75% non-hypertensive, 89.7% non-diabetic subjects, 86.8% of non CVD-subjects.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%