Exacerbación de psoriasis asociada a estrés en pacientes del Hospital Universidad del Norte y ESE José Prudencio Padilla, Clínica Sur de Barranquilla

Objective: To establish the behavior of the exacerbation for Psoriasis associated with stress in patients from external consultation of the HUN and the ESE José Prudencio Padilla Sur. Materials and methods: Descriptive transversal study with cases and controls analysis. There were studied 385 patients (77 cases, 308 controls), from the outpatient clinic of the HUN and the ESE Jose Prudencio Padilla Sur, and filled the requirements criteria of inclusion and exclusion. The information was collected using: questionnaire, Holmes/Rahe's modified Stress Test and Friedman / Rosenman's behavior Test. During evaluation the variables considered were: age, sex, stress, type of conduct, family history, alcohol consumption, quantity of alcohol consumption, cigarette consumption, quantity of cigarette consumption and use of betablockers. Results. The average age of cases and controls: 29.9 and 28 years respectively, there was no statistical difference in age between both groups with respect to age(t test: 1.84, p: 0.065) neither sex type (x²: 1.31, p: 0.25). When stress and psoriasis exacerbations were compared, a statistical association was found (x²: 8.02 y p: 0.0181), also happened with respect to conduct type A (OR: 2.48 IC _95% 1.39-4.439). Other factors in which statistical association were found are positive family history for psoriasis (X²: 34.84, p: 0.00) and cigarette smoking (X²: 17.3, p: 0.00). Conclusions. An association between stress and conduct type A was found with psoriasis exacerbations, but also exist individual type and family factors that have influence in its presentation.