title: How patients experience psoriasis: results from a European survey.
abstract: BACKGROUND
  Most of the psoriasis that affects the European population is treated with topical preparations. Compliance rates, however, are known to be quite low.
  
  
  OBJECTIVE
  To provide an update on how psoriasis is experienced by patients and how well these patients comply with prescribed topical treatment.
  
  
  METHODS
  This was an observational and transversal survey conducted in 1281 patients with psoriasis. Patient input alone formed the basis of the study. Participants were contacted through the national psoriasis patient associations in France, the United Kingdom, Belgium, Germany and the Netherlands.
  
  
  RESULTS
  The study showed that 32% of the patients suffer currently from psoriasis in the face, skin folds and genital areas--areas very sensitive to topical treatments. Most of the patients (74%) considered their psoriasis as at least moderately severe, and 73% stated not to comply with their current treatment. Lack of efficacy and messiness of the treatment were the main reasons for non-compliance, an element that is especially important for the use in sensitive areas such as the face, skin folds and genitalia.
  
  
  CONCLUSIONS
  The present survey confirmed that cosmetic acceptability is, together with efficacy and safety, a very important aspect of a successful treatment of psoriasis.
authors.affiliation: Department de Dermatologie and Vénérologie, Hôpital St Louis, Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Fouéré
authors.forename: L
authors.initials: L
authors.lastname: Adjadj
authors.forename: H
authors.initials: H
authors.lastname: Pawin
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000367:Age Factors; D000368:Aged; D003131:Combined Modality Therapy; D003430:Cross-Sectional Studies; D005060:Europe / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011565:Psoriasis / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D011788:Quality of Life; D018570:Risk Assessment; D012649:Self Concept; D012720:Severity of Illness Index; D012737:Sex Factors; D018434:Sickness Impact Profile; D013315:Stress, Psychological; D011795:Surveys and Questionnaires