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Psoriasis and sexual dysfunction: links, risks, and management challenges

Authors Duarte GV, Calmon H, Radel G, Oliveira MDEF

Received 20 August 2018

Accepted for publication 26 October 2018

Published 10 December 2018 Volume 2018:8 Pages 93—99

DOI https://doi.org/10.2147/PTT.S159916

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Andrew Yee

Peer reviewer comments 3

Editor who approved publication: Professor Uwe Wollina


Gleison V Duarte,1 Humberto Calmon,2 Gabriela Radel,2 Maria de Fátima Paim de Oliveira3

1Department of Dermatology, Instituto Bahiano de Imunoterapias (IBIS), Bahia, Brazil; 2Universidade Salvador, Bahia, Brazil; 3DERMAPP, Bahia, Brazil

Abstract: According to the WHO, sexual health is not merely the absence of disease. Sexual dysfunction may be present in 40.8% of psoriasis patients, furthermore, 68% prevalence was found in Brazilian women with psoriasis. The moderate prevalence of psoriatic lesions in the genital area (35%–42%) does not explain the alarming prevalence of sexual dysfunction. Other factors, such as anxiety, depression, and also psoriasis treatment may contribute to its development. Likewise, atherosclerosis of the pelvic vasculature is involved in the pathogenesis of erectile dysfunction. Risk factors for erectile dysfunction tend to be confused with the comorbidities seen in psoriasis patients. We also highlight that it may serve as a marker of cardiovascular risk.

Keywords: psoriasis, erectile dysfunction, sexual health, comorbidity

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