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Updated: May 4, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Does treatment of psoriasis reduce the risk of cardiovascular disease?
Sarah Churton1, Liza Brown, Thuzar M Shin
1Department of Dermatology, Murdough Family Center for Psoriasis, University Hospitals Case Medical Center, 11100 Euclid Ave. Bolwell 3100, Cleveland, OH, 44106, USA, sarah.churton@uhhospitals.org.
Insights
Psoriasis patients face higher cardiovascular risks. Certain treatments, like methotrexate and TNF-α inhibitors, may improve heart health by reducing inflammation and cardiovascular events.
Area of Science:
- Dermatology
- Cardiology
- Immunology
Background:
- Psoriasis is an inflammatory condition linked to cardiovascular disease (CVD) and increased mortality.
- Systemic inflammation may be a common pathway connecting psoriasis and CVD.
- The impact of psoriasis treatments on cardiovascular outcomes remains unclear.
Purpose of the Study:
- To review evidence on how psoriasis therapies affect cardiovascular biomarkers and risk.
- To assess the cardiovascular safety and efficacy of various psoriasis treatments.
Main Methods:
- Systematic review of 23 original research publications.
- Analysis of studies examining psoriasis treatments and cardiovascular health indicators.
Main Results:
- Phototherapy shows potential in reducing inflammatory cytokines but lacks strong evidence for decreased CVD outcomes.
- Methotrexate and tumor necrosis factor-α inhibitors demonstrate improvements in cardiovascular inflammatory biomarkers and CVD outcomes.
- Interleukin-12/23 inhibitors have varied short-term data, with no clear increase in cardiovascular events observed.
Conclusions:
- Some psoriasis treatments may positively influence cardiovascular health.
- Methotrexate and TNF-α inhibitors appear beneficial for cardiovascular risk in psoriasis patients.
- Further research is needed to fully elucidate the cardiovascular effects of all psoriasis therapies.
Abstract:
Psoriasis is an inflammatory disease associated with multiple comorbidities and cardiovascular risk factors. Patients with psoriasis have an increased risk of cardiovascular disease (CVD) and cardiovascular death. It has been proposed that overlapping mechanisms of systemic inflammation contribute to the link between psoriasis and cardiovascular disease. Some psoriasis treatments decrease systemic inflammation, but the effect of psoriasis treatments on heart disease is unknown. In this review of 23 original research publications, we present preliminary evidence that some psoriasis therapies improve cardiovascular biomarkers and the incidence of cardiovascular risk. Phototherapy may reduce some inflammatory cytokines, but there is little evidence for a decreased risk of CVD outcomes. Both methotrexate and tumour necrosis factor-α inhibitors improve cardiovascular inflammatory biomarkers and improve CVD outcomes. Short-term data on interleukin-12/23 inhibitors are varied, but most data suggest there is not an increase in cardiovascular events.
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