目的:本研究的目的是调查银屑病是否构成OLP的合并症,并阐明抑郁和焦虑治疗的效果。
方法:我们分析了2014-2022年临床和组织学诊断为OLP的连续患者队列。结果与年龄和性别相匹配的对照系列中获得的结果形成对比。OLP与性别的相关性,年龄,烟草,酒精,牛皮癣,使用Pearson检验卡方评估抑郁和焦虑的治疗。采用多因素回归分析评价银屑病与OLP的相关性。为了评估统计模型的质量,使用了Akaike信息标准(AIC)。
结果:该研究涉及1016例患者,738名女性(72.6%),和278名男性(27.4%)。平均年龄59.38(±12.55)岁。在508例OLP患者中,有16例(3.15%)合并银屑病,对照组为5例(0.98%)。年龄,性别,吸烟和饮酒习惯不是银屑病与OLP患者相关性的预测变量.根据多变量分析,OLP的奇数比(OR)为银屑病(OR3.13,1.20-9.68),与单变量分析相比,抑郁药物(OR1.88,1.13-3.19]和焦虑治疗(OR2.06,1.18-2.70)更高。
结论:据我们所知,这是第一项显示OLP患者银屑病潜在风险的研究,应考虑我们的结果,以提高对OLP共病的认识.
OBJECTIVE: The aim of the present study was to investigate whether psoriasis disease constitutes a risk factor for OLP, by assessing the prevalance of psoriasis in a test group with OLP and the control group without.
METHODS: A cohort of consecutive patients diagnosed clinically and histologically with OLP between 2014 and 2022 was analyzed. The results were contrasted with those obtained in control series matched for age and sex. The correlations between OLP and sex, age, tobacco, alcohol consumption, and psoriasis were assessed using Pearson chi-square test. Multivariate regression analysis was performed to evaluate the association between psoriasis and OLP. For the assessment of the quality of the statistical models, the Akaike information criterion was used.
RESULTS: The study involved 1,016 patients; 738 women (72.6%) and 278 men (27.4%). The average age was 59.38 ± 12.55 years. Of 508 patients with OLP, 16 (3.15%) had comorbid psoriasis, and this was 5 (0.98%) in the control group. Age, sex, smoking, and alcohol habits were not predictive variables in the relationship between psoriasis and OLP in these patients. There were statistically significant differences in relation to the number of locations, with greater extension in patients with OLP and psoriasis (P = .002). According to the multivariate analysis, the odds ratio of OLP for psoriasis was 3.13 (95% CI 1.20-9.68).
CONCLUSIONS: This is the first study showing the potential association between psoriasis and OLP, and the results should be considered to improve knowledge of comorbidity of OLP. Based on the results, it is recommended that clinicians collect data regarding history of psoriasis in patients with OLP, and consider possible multiple intraoral locations.