Cardiovascular and metabolic risks in psoriasis and psoriatic arthritis: pragmatic clinical management based on

Hanna Johnsson1, Iain B McInnes, Naveed Sattar

  • 1Institute of Cardiovascular and Medical Sciences, BHF Glasgow Cardiovascular Research Centre, University of Glasgow, UK. h.johnsson@doctors.org.uk

Insights

Patients with psoriasis and psoriatic arthritis face higher risks of cardiovascular disease and metabolic issues like obesity and diabetes. Lifestyle interventions and screening are crucial for managing these conditions.

Area of Science:

  • Dermatology
  • Cardiology
  • Endocrinology

Background:

  • Psoriasis and psoriatic arthritis (PsA) are linked to increased cardiovascular disease (CVD) risk.
  • Patients with these conditions often exhibit higher rates of obesity, diabetes, and fatty liver disease.

Purpose of the Study:

  • To discuss the association between psoriasis/PsA and cardiometabolic disorders.
  • To emphasize lifestyle interventions and propose screening strategies for at-risk patients.

Main Methods:

  • Literature review and synthesis of existing studies.
  • Discussion of clinical implications and future research directions.

Main Results:

  • Patients with psoriasis and PsA have a significant predisposition to cardiometabolic disorders.
  • Simple lifestyle interventions are underutilized but essential for patient management.

Conclusions:

  • Integrated care addressing both dermatological and cardiometabolic aspects is necessary.
  • A pragmatic screening approach can identify high-risk patients for early intervention.

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