Skip to content

Psoriasis Health Center

Severe Psoriasis May Up Risk of Death

Study Shows Patients With Severe Psoriasis Die Earlier
Font Size
A
A
A
By
WebMD Health News
Reviewed by Louise Chang, MD

Dec. 17, 2007 -- Psoriasis is not generally thought of as life-threatening, but it just might be for those with the severest forms of the disease.

People with severe psoriasis had a 50% increased risk of death compared with people without the inflammatory skin disease in a newly reported study.

Men with severe psoriasis died an average of 3.5 years earlier than men without the condition, while women with severe psoriasis died 4.4 years earlier than women without psoriasis.

Having mild psoriasis was not associated with an increased risk of death, and the researchers did not have information on causes of death.

But researcher Joel M. Gelfand, MD, says the findings make it clear that patients with severe psoriasis are at greater risk than has been realized.

"To put this in perspective, this finding suggests that more years of life are lost related to severe psoriasis than to severe hypertension," he tells WebMD.

Psoriasis and Death

As many as 7.5 million Americans have psoriasis, according to the National Institutes of Health.

About 80% to 85% of patients have mild to moderate psoriasis, while 15% to 20% have more extensive skin involvement. These patients generally require treatment with systemic medications like the drugs methotrexate and cyclosporine or newer biologics such as Enbrel, Remicade, and Humira.

Using a national medical records database from the U.K., Gelfand and colleagues from the University of Pennsylvania School of Medicine identified 133,568 patients with mild psoriasis, defined as having a diagnosis of psoriasis but no history of treatment for the condition.

An additional 3,951 patients were identified with severe psoriasis.

For each patient, up to five people without psoriasis who visited doctors for other causes were used for comparison.

During the study period, the death rate among patients with severe psoriasis was almost twice as high as in patients without psoriasis (21.3 deaths per 1,000 individuals per year vs. 12 deaths per 1,000 individuals per year).

During the study period, patients with severe psoriasis had a 50% increased risk of death compared with those without psoriasis. Those with milder psoriasis didn't have an increased risk of death compared to those without psoriasis.

The study appears in the December issue of the Archives of Dermatology.

Today on WebMD

Woman sitting in front of UV lights
About 7.5 million people in the U.S. Get to know what to do about it.
stress and psoriasis
What might spark your psoriasis today?
 
woman bathing
Relax and heed these eight tips.
woman applying lotion
It starts in the immune system. Read on.
 
Top Psoriasis Treatments To Try At Home
Article
Woman sitting in front of UV lights
Slideshow
 
Beware Miracle Diets For Psoriasis
Article
Psoriasis Laser Therapy
Video
 
10 Questions About Psoriasis To Ask Your Doctor
Article
psoriasis on elbow
Article
 
Psoriasis (Moderate to Severe)
Article
Psoriatic Arthritis Do You Know The Symptoms
Article