Psoriasis has a negative association with quality of life qol in adult and pediatric patients 1 7 newer more potent biological treatments have made the achievement of pasi 90 a reduction of 90 of the psoriasis area severity index pasi score more attainable and data from randomized clinical trials in adult patients suggest the relevance of aiming for pasi 90 which has been associated . Numerous studies have demonstrated the significant negative impact of psoriasis on quality of life qol 1 5 furthermore as a chronic disease psoriasis affects the qol of both patients and their close relatives in a cumulative way 6 the family members of patients with psoriasis experience a wide range of detrimental effects on their lives with regards to psychological social and . Psoriasis is one of the prevalent skin conditions in the united states this chronic condition has a significant negative impact on patients quality of life psoriasis has been linked to the depression and suicidal tendencies in the patients the costs associated with decrements in quality of life lost productivity and work absenteeism may be enormous increasing overall costs associated . Quality of life in persons with psoriasis did not depend on sociodemographic parameters but correlated significantly with two stigmatization domains sensitivity to the opinions of others r 031 p 00030 and positive attitudes r 027 p 00115 conclusions as stigmatization is a social problem only greater social awareness of psoriasis may contribute to better understanding . Introduction psoriasis is a significant dermatologic disease affecting 21 to 25 of the general population it represents a great burden to the patient because of often marked loss of quality of life therapy refractory course and frequent side effects of therapy 1 6the medical and economic implications are also serious 7 9on the background of ever increasing rationing of funds in
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