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KMID : 1149120220190020040
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Journal of the Korean Society for Psoriasis
2022 Volume.19 No. 2 p.40 ~ p.45
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Geriatric Patients with Psoriasis: Characteristics and Treatment
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Son Seung-Jin
Sung Yeoun-Kuk
Jung Kyung-Eun
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Abstract
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Psoriasis is a chronic inflammatory skin disease. Metabolic syndrome and cardiovascular disease, such as hypertension, stroke, diabetes mellitus, and hyperlipidemia, are more frequent among psoriatic patients and they experience increased morbidity and mortality than the normal population. Therefore, psoriasis and its comorbidities are important issues, especially in the geriatric population. However, little is known about psoriasis in geriatric patients, whereas treating this growing population can be challenging due to comorbidities, polypharmacy and physical impairments. Also, it will be of increasing importance to focus on the holistic management of geriatric dermatological conditions as this approach is potentially more cost effective because treatment is individualized and takes into account the patient’s overall medical and social circumstances. Treatment goals should be kept simple and individualized for each patient, based on concomitant comorbidities, potential adverse effects, existing quality of life, self-care capability, drug history, care-giver situation, financial needs, feasibility for follow- up and patient’s preferences. Here, we review the characteristics of geriatric patients with psoriasis and discuss rational treatment strategies.
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KEYWORD
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Aging, Epidemiology, Geriatric patients, Old age, Psoriasis
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