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Updated: Jun 15, 2026

Measuring Psoriasis Severity at Home
Published on: March 1, 2024
Psoriasis is not a useful independent risk factor for cardiovascular disease
1Department of Dermatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA. rstern@bidmc.harvard.edu
Insights
Psoriasis is unlikely to be a significant risk factor for myocardial infarction (MI) or cardiovascular disease (CVD). Even if an association exists, it is not considered clinically useful for predicting CVD risk.
Area of Science:
- Dermatology
- Cardiology
- Epidemiology
Background:
- The hypothesis linking psoriasis to increased risk of myocardial infarction (MI) and cardiovascular disease (CVD) has gained attention since 2006.
- Sponsorship of research and symposia by biologic therapy manufacturers has advanced this hypothesis.
- A clinical trial is investigating if TNF inhibitor therapy for psoriasis reduces cardiovascular risk.
Purpose of the Study:
- To evaluate the evidence regarding psoriasis as a risk factor for MI and CVD.
- To determine if psoriasis is a clinically useful independent risk factor for CVD.
Main Methods:
- Review and analysis of existing evidence on psoriasis, MI, and CVD.
- Consideration of confounding factors and bias in previous studies.
Main Results:
- New evidence suggests it is unlikely that psoriasis, even severe psoriasis, is a relevant risk factor for MI.
- Even after accounting for confounding and bias, psoriasis is unlikely to be a clinically useful independent risk factor for CVD.
Conclusions:
- The association between psoriasis and CVD risk, if present, is not clinically significant.
- Further research is needed to clarify the complex relationship between psoriasis and cardiovascular health.
Abstract:
Since Gelfand's 2006 publication, the hypothesis that psoriasis is a risk factor for myocardial infarction (MI) and cardiovascular disease (CVD) has drawn substantial attention (Gelfand et al., 2006). Makers of biologic therapies for psoriasis, whose products cost $15,000 to $25,000 per patient treated per year, are prominent sponsors of symposia and publications that have advanced this hypothesis (Strober et al., 2008; Friedewald et al., 2008). A company-supported clinical trial testing the hypothesis that tumor necrosis factor (TNF) inhibitor therapy of psoriasis may also reduce cardiovascular risk is under way (ClinicalTrials.gov, 2007). In this issue, Wakkee et al. provide additional evidence that it is unlikely that either psoriasis or severe psoriasis is a relevant risk factor for MI. Even if--after accounting for confounding and bias--psoriasis is significantly associated with CVD risk, psoriasis is unlikely to be a clinically useful independent risk factor for CVD.
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