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Homocysteine, vitamin B12 and folic acid levels in psoriasis patients
12nd Dermatology Clinic, Ankara Numune Education and Research Hospital, Ministry of Health, Ankara, Turkey. seraycakmak@gmail.com
Insights
Serum homocysteine levels correlate with psoriasis severity, suggesting a link between elevated homocysteine and increased cardiovascular risk in psoriasis patients. Further research is warranted to explore this association.
Area of Science:
- Dermatology
- Cardiovascular Medicine
- Nutritional Biochemistry
Background:
- Hyperhomocysteinemia is a known risk factor for various cardiovascular and thrombotic diseases.
- Previous studies suggest a potential association between psoriasis and cardiovascular diseases.
Purpose of the Study:
- To investigate serum homocysteine, folic acid, and vitamin B12 levels in patients with chronic plaque psoriasis.
- To explore the relationship between these biochemical markers and psoriasis severity.
Main Methods:
- A cross-sectional study involving 70 outpatients with chronic plaque psoriasis and 70 matched controls.
- Measurement of serum homocysteine, folic acid, and vitamin B12 levels in both groups.
Main Results:
- No significant differences in serum homocysteine, folic acid, or vitamin B12 levels were observed between psoriasis patients and controls.
- In psoriasis patients, serum homocysteine levels showed a direct correlation with disease severity (Psoriasis Area and Severity Index).
- A significant inverse correlation was found between serum homocysteine and serum folic acid levels within the psoriasis patient group.
Conclusions:
- Serum homocysteine levels are associated with the severity of psoriasis.
- The observed correlation suggests that elevated homocysteine may contribute to the increased cardiovascular risk associated with more severe psoriasis.
Background:
Hyperhomocysteinaemia is a risk factor for atherosclerotic cardiovascular disease, stroke, peripheral arterial occlusive disease and venous thrombosis. An association between psoriasis and cardiovascular diseases has been reported.
Aim:
The aim of our study was to examine serum homocysteine, folic acid and vitamin B12 levels in psoriasis patients.
Material And Methods:
We performed a cross-sectional study in 70 consecutive outpatients with chronic plaque psoriasis and 70 age- and gender-matched controls. Serum levels of homocysteine, vitamin B12 and folic acid levels were measured in both groups.
Results:
Serum homocysteine, folic acid and vitamin B12 levels did not differ between patient and control groups. In psoriasis patients, homocysteine levels correlated directly with psoriasis severity as measured by psoriasis area and severity index. Serum homocysteine level inversely correlated with serum folic acid levels in the patient group.
Discussion:
Homocysteine levels correlated with psoriasis area and severity index in the patient group, which shows the disease severity. The increase in cardiovascular mortality with the severity of psoriasis might be also due to the effects of homocysteine.
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