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Updated: Jun 13, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Psoriasis and cardiovascular disease
Gino A Vena1, Michelangelo Vestita, Nicoletta Cassano
12nd Dermatology Clinic, University of Bari, Policlinico, Bari, Italy. g.vena@dermatologia.uniba.it
Insights
Psoriasis is linked to increased cardiovascular risk, with severity correlating to risk. Inflammation and immune responses are key factors in this association.
Area of Science:
- Dermatology and Cardiology
- Immunology and Vascular Biology
Background:
- Epidemiological data indicate a strong association between psoriasis and cardiovascular (CV) risk.
- Psoriasis patients exhibit a higher prevalence of cardiovascular diseases, including ischemic heart disease, cerebrovascular events, and peripheral vascular disorders.
Purpose of the Study:
- To explore the association between psoriasis and cardiovascular risk, considering disease severity.
- To investigate the underlying mechanisms linking psoriasis to cardiovascular complications.
Main Methods:
- Review of current epidemiological data and existing studies.
- Analysis of correlations between psoriasis severity and cardiovascular events.
- Examination of proposed pathophysiological mechanisms, including inflammation and immune dysregulation.
Main Results:
- A correlation exists between psoriasis severity and cardiovascular risk.
- Psoriasis is associated with major adverse cardiovascular events (myocardial infarction, stroke) and subclinical vascular changes (intima-media thickness, arterial stiffness, coronary calcification).
- Potential mechanisms include traditional CV risk factors, inflammation (Th1/Th17/Treg imbalance, CRP, osteopontin), hemostasis dysregulation, and shared genetic factors.
Conclusions:
- Inflammation and associated cytokines play a crucial role in the link between psoriasis and cardiovascular disease.
- Further research is needed to fully elucidate the complex interplay of factors contributing to cardiovascular risk in psoriasis patients.
Abstract:
Current epidemiological data support the association between psoriasis and cardiovascular (CV) risk, in apparent correlation with psoriasis severity. Although less unanimously, evidence of an increased prevalence of CV diseases among psoriasis patients has been reported, including ischemic heart disease, cerebrovascular, peripheral vascular and heart structural disorders. In particular, various studies showed a correlation between psoriasis and major CV events (i.e., myocardial infarction, stroke), while others investigated subclinical changes of blood vessels, such as intima-media thickness increase, arterial stiffness and coronary artery calcification. A series of different mechanisms, like traditional CV risk or iatrogenic risk factors, inflammation, hemostasis dysregulation, hyperhomocysteinemia, and shared genetic susceptibility, are thought to underlie this epidemiological association. Among these elements, inflammation and its related cytokine milieu, including Th1-mediated response and Th17/Treg imbalance, C reactive protein and the newly implicated osteopontin are considered to play a primary role, even if yet to be fully understood.
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