Psoriasis and cardiovascular comorbidities with emphasis in Asia
1Department of Dermatology, National Taiwan University Hospital, Taipei, Taiwan. tftsai@yahoo.com
Summary
Psoriasis patients face increased cardiovascular risks due to chronic inflammation and metabolic syndrome. Treatments, including biologics, may impact these risks, with emerging Taiwanese research contributing to this field.
Area of Science:
- Dermatology
- Cardiology
- Immunology
Background:
- Psoriasis, traditionally viewed as a skin condition, is increasingly linked to systemic comorbidities.
- Cardiovascular disease is a significant concern in psoriasis patients, impacting mortality and treatment strategies.
- Shared inflammatory pathways, including Th1 and Th17 responses, and metabolic factors like adiposity and metabolic syndrome, may underlie both psoriasis and atherosclerosis.
Purpose of the Study:
- To review current literature on cardiovascular risks associated with psoriasis.
- To examine the impact of psoriasis treatments, including biologics, on cardiovascular comorbidities.
- To present recent findings, including those from Taiwan, addressing the cardiovascular risks in psoriasis.
Main Methods:
- Literature review of recent publications on psoriasis and cardiovascular comorbidities.
- Analysis of studies investigating the effects of psoriasis treatments on cardiovascular health.
- Inclusion of recent research data from Taiwan.
Main Results:
- Growing evidence confirms a significant link between psoriasis and cardiovascular comorbidities.
- Chronic inflammation and metabolic syndrome are implicated as common pathogenic mechanisms.
- Psoriasis treatments, particularly biologics, are being investigated for their cardiovascular effects.
Conclusions:
- Psoriasis is associated with increased cardiovascular risk, extending beyond its dermatological manifestations.
- Understanding shared inflammatory and metabolic pathways is crucial for managing comorbidities.
- Further research, including Asian-specific data, is needed to fully elucidate and manage cardiovascular risks in psoriasis patients.
More Related Videos
Related Concept Videos
Psychoneuroimmunology: Cardiovascular Disease
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Rheumatic Heart Disease III: Medical Management
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Rheumatic Heart Disease I: Introduction
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Coronary Artery Disease I: Introduction
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
COPD: Pathogenesis and Clinical Features
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...

