Profile of Psoriasis Vulgaris in Waled General Hospital, Cirebon, Indonesia: A Retrospective Study (January 2020-December 2023)

Authors

DOI:

https://doi.org/10.35898/ghmj-81s1157

Keywords:

Psoriasis Vulgaris, Skin diseases, Red plaques, Systemic antihistamines treatment, Topical corticosteroids treatment

Abstract

Background: Psoriasis is a chronic skin disease that significantly impacts the quality of life. In Indonesia, it affects 2.5% of the population, with increasing cases observed in major hospitals. This study aimed to profile psoriasis vulgaris at Waled General Hospital, Cirebon, from January 2020 to December 2023.

Aims: To understand the profile of psoriasis vulgaris in the Dermatology and Venereology Clinic of Waled General Hospital, Cirebon Regency, for the period January 2020 to December 2023.

Methods: This study employed a descriptive, cross-sectional design with a retrospective approach to analyze secondary data sourced from medical records of patients treated at Waled General Hospital. The inclusion criteria focused on individuals diagnosed with psoriasis vulgaris who received treatment or consultation between January 2020 and December 2023, provided their medical records were complete. Conversely, the exclusion criteria removed patients diagnosed with other forms of psoriasis, such as guttate psoriasis, as well as those with incomplete records. The final sample size consisted of 56 patients, ensuring a focused and manageable dataset for analysis. By applying these criteria, the study aimed to provide a clear and accurate understanding of psoriasis vulgaris cases, ensuring the findings were both scientifically robust and clinically relevant.

Results: From January 2020 to December 2023, psoriasis vulgaris was most prevalent among the age group of 15-49 years, with a mean age of 42.3 ± 14.7 years comprising 53.57% of the cases. The female sex predominated over the male sex, with 53.57% versus 46.42%. The major clinical presentation in all cases was red plaques, 100%. Hypertension was the most common comorbid condition, affecting 17.85% of the patients. The universal systemic antihistamine used was 100%, while the topical corticosteroid used was performed for 80.35% of the cases.

Conclusion: These findings put into perspective the need for early recognition of symptoms, standardized treatment, and integrated care for comorbidities such as hypertension in a regional hospital setting. This study thus provides important lessons that could be used to improve psoriasis management by proactively identifying specific strategies to address demographic and clinical characteristics of affected populations and ultimately improve patient outcomes and resource use.

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Author Biographies

  • Fadhlan Adiguna Putra S.Ked., Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia.

    Fadhlan Adiguna Putra completed his medical education at the Faculty of Medicine at Universitas Swadaya Gunung Jati in 2023. He is interested in Dermatovenereology research.

  • dr. Frista Martha Rahayu Sp.DVE, Department of Dermatovenereology, Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia.

    dr. Frista is a researcher and lecturer at Department of Dermatovenereology, Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia. She earned her specialist degree in Dermatovenereology at Universitas Dipenogoro, Semarang, Indonesia.

  • dr. Maya Wahdini, Sp.KK, Department of Dermatovenereology, Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia.

    dr. Maya is a researcher and lecturer at Department of Dermatovenereology, Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia. She earned her specialist degree in Dermatology at UNPAD University, Bandung, Indonesia.

References

Armstrong, A. W., Lin, S. W., Chambers, C. J., Sockolov, M. E., & Chin, D. L. (2011). Psoriasis and hypertension severity: Results from a case-control study. PLoS ONE, 6(3). https://doi.org/10.1371/journal.pone.0018227

Armstrong, A. W., & Read, C. (2020, May 19). Pathophysiology, Clinical Presentation, and Treatment of Psoriasis: A Review. JAMA - Journal of the American Medical Association. American Medical Association. https://doi.org/10.1001/jama.2020.4006

Brazzelli, V., Maffioli, P., Bolcato, V., Ciolfi, C., D’Angelo, A., Tinelli, C., & Derosa, G. (2021). Psoriasis and Diabetes, a Dangerous Association: Evaluation of Insulin Resistance, Lipid Abnormalities, and Cardiovascular Risk Biomarkers. Frontiers in Medicine, 8. https://doi.org/10.3389/fmed.2021.605691

Brożyna, A. A., Slominski, R. M., Nedoszytko, B., Zmijewski, M. A., & Slominski, A. T. (2022, August 1). Vitamin D Signaling in Psoriasis: Pathogenesis and Therapy. International Journal of Molecular Sciences. MDPI. https://doi.org/10.3390/ijms23158575

Cassalia, F., Lunardon, A., Frattin, G., Danese, A., Caroppo, F., & Fortina, A. B. (2025, January 1). How Hormonal Balance Changes Lives in Women with Psoriasis. Journal of Clinical Medicine. Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/jcm14020582

Dodulík, J., Dodulíková, L., Plášek, J., Ramík, Z., Vrtal, J., & Václavík, J. (2025, April 1). Pharmacotherapy of arterial hypertension in patients with psoriasis. Journal of Hypertension. Lippincott Williams and Wilkins. https://doi.org/10.1097/HJH.0000000000003982

Elmets, C. A., Korman, N. J., Prater, E. F., Wong, E. B., Rupani, R. N., Kivelevitch, D., … Menter, A. (2021). Joint AAD–NPF Guidelines of care for the management and treatment of psoriasis with topical therapy and alternative medicine modalities for psoriasis severity measures. Journal of the American Academy of Dermatology, 84(2), 432–470. https://doi.org/10.1016/j.jaad.2020.07.087

Gregoire, A. R. F., Deruyter, B. K., & Stratman, E. J. (2021). Psoriasis Flares following Systemic Glucocorticoid Exposure in Patients with a History of Psoriasis. JAMA Dermatology, 157(2), 198–201. https://doi.org/10.1001/jamadermatol.2020.4219

Guillet, C., Seeli, C., Nina, M., Maul, L. V., & Maul, J. T. (2022). The impact of gender and sex in psoriasis: What to be aware of when treating women with psoriasis. International Journal of Women’s Dermatology, 8(2). https://doi.org/10.1097/JW9.0000000000000010

Queiro, R., Tejón, P., Alonso, S., & Coto, P. (2014). Age at disease onset: A key factor for understanding psoriatic disease. Rheumatology (United Kingdom). Oxford University Press. https://doi.org/10.1093/rheumatology/ket363

Weber, B., Merola, J. F., Husni, M. E., Di Carli, M., Berger, J. S., & Garshick, M. S. (2021, November 1). Psoriasis and Cardiovascular Disease: Novel Mechanisms and Evolving Therapeutics. Current Atherosclerosis Reports. Springer. https://doi.org/10.1007/s11883-021-00963-y

Sitton, B., Walker, T., Mital, R., Varra, V., & Kaffenberger, J. (2024, September 1). Antistreptococcal treatment of psoriasis: a systematic review. Archives of Dermatological Research. Springer Nature. https://doi.org/10.1007/s00403-024-03051-8

Napolitano, M., Mastroeni, S., Fania, L., Pallotta, S., Fusari, R., Uras, C., … Abeni, D. (2020). Sex- and gender-associated clinical and psychosocial characteristics of patients with psoriasis. Clinical and Experimental Dermatology, 45(6), 705–711. https://doi.org/10.1111/ced.14218

Zhao, M., Luo, J., Xiao, B., Tang, H., Song, F., Ding, X., & Yang, G. (2020). Endoplasmic reticulum stress links psoriasis vulgaris with keratinocyte inflammation. Postepy Dermatologii i Alergologii, 37(1), 34–40. https://doi.org/10.5114/ada.2020.93382

Woźniak, E., Owczarczyk-Saczonek, A., & Placek, W. (2021). Psychological stress, mast cells, and psoriasis—is there any relationship? International Journal of Molecular Sciences, 22(24). https://doi.org/10.3390/ijms222413252

Zhang, J., Zhao, S., Xing, X., Shang, L., Cao, J., & He, Y. (2023). Effects of Neuropeptides on Dendritic Cells in the Pathogenesis of Psoriasis. Journal of Inflammation Research. Dove Medical Press Ltd. https://doi.org/10.2147/JIR.S397079

Global Psoriasis Atlas. Prevalence Data Indonesia [Internet]. 2017. Available from: https://www.globalpsoriasisatlas.org

Damiani G, Bragazzi NL, Karimkhani Aksut C, Wu D, Alicandro G, McGonagle D, et al. The Global, Regional, and National Burden of Psoriasis: Results and Insights From the Global Burden of Disease 2019 Study. Front Med (Lausanne). 2021 Dec 16;8. https://doi.org/10.3389/fmed.2021.743180

Published

2025-04-30

How to Cite

Putra, F. A., Rahayu, F. M., & Wahdini, M. (2025). Profile of Psoriasis Vulgaris in Waled General Hospital, Cirebon, Indonesia: A Retrospective Study (January 2020-December 2023). GHMJ (Global Health Management Journal), 8(1s), 102–111. https://doi.org/10.35898/ghmj-81s1157

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