[New populations at increased cardiovascular risk: Cardiovascular disease in dermatological diseases]

Area of Science:

• Dermatology
• Cardiology
• Public Health

Background:

• Increased cardiovascular risk is recognized in some dermatological diseases.
• Psoriasis and systemic lupus erythematosus are included in cardiovascular disease prevention guidelines.
• Emerging evidence links other skin conditions to heightened cardiovascular risk.

Purpose of the Study:

• To review evidence associating dermatological diseases with cardiovascular risk.
• To highlight the need for cardiovascular risk factor management in affected patients.
• To inform clinicians about less recognized dermatological conditions with potential cardiovascular implications.

Main Methods:

• Literature review of studies on dermatological diseases and cardiovascular risk.
• Analysis of current cardiovascular disease prevention guidelines.
• Synthesis of evidence linking specific dermatological conditions to cardiovascular outcomes.

Main Results:

• Psoriasis and systemic lupus erythematosus are established risk factors.
• Androgenic alopecia, polycystic ovary syndrome, hidradenitis suppurativa, and lichen planus show significant associations with increased cardiovascular risk.
• These latter conditions are not yet incorporated into major cardiovascular guidelines.

Conclusions:

• Clinicians must be vigilant for cardiovascular risk in patients with various dermatological diseases.
• Proactive management of cardiovascular risk factors is crucial for patients with conditions like androgenic alopecia and hidradenitis suppurativa.
• Guidelines should consider expanding to include a broader range of dermatological diseases associated with cardiovascular risk.