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Updated: Mar 20, 2026

Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients
Published on: March 1, 2024
Updates on cardiovascular comorbidities associated with psoriatic diseases: epidemiology and mechanisms
Kaitlyn M Yim1, April W Armstrong2
1Department of Dermatology, University of Southern California, 1975 Zonal Avenue, KAM 510, MC 9034, Los Angeles, CA, 90089, USA.
Insights
Psoriasis and psoriatic arthritis increase the risk of cardiovascular issues. Understanding these links, including inflammation and insulin resistance, can improve patient care.
Area of Science:
- Dermatology and Cardiology
- Inflammatory Diseases
- Cardiovascular Medicine
Background:
- Psoriatic diseases, including psoriasis and psoriatic arthritis, are linked to higher risks of cardiovascular problems.
- Cardiovascular risk factors and major adverse cardiovascular events (MACE) are more prevalent in patients with psoriatic diseases.
Purpose of the Study:
- To review the epidemiologic associations between psoriatic diseases and cardiovascular comorbidities.
- To explore the shared pathogenic mechanisms contributing to cardiovascular disease in psoriatic patients.
Main Methods:
- Literature review of epidemiologic studies.
- Analysis of proposed mechanisms linking psoriatic diseases and cardiovascular disease.
Main Results:
- Psoriasis and psoriatic arthritis are associated with increased cardiovascular risk factors and MACE.
- Shared pathogenesis involves inflammation, insulin resistance, dyslipidemia, angiogenesis, oxidative stress, and endothelial dysfunction.
Conclusions:
- There is a significant link between psoriatic diseases and cardiovascular disease.
- Further research is needed to clarify these connections and inform clinical practice for psoriasis patients.
Abstract:
Psoriasis and psoriatic arthritis are associated with a significantly increased risk of cardiovascular risk factors and major adverse cardiovascular events (MACE). Active research is ongoing to elucidate this relationship between psoriatic diseases and cardiovascular comorbidities, as well as their shared pathogenic mechanisms. This review focuses on (1) the epidemiologic association between psoriasis and cardiovascular risk factors, (2) the epidemiologic association between psoriasis and MACE, (3) the epidemiologic association between psoriatic arthritis, cardiovascular risk factors, and MACE, and (4) proposed mechanisms for the contribution of psoriatic diseases to cardiovascular diseases. The proposed mechanisms for shared pathogenesis between psoriatic diseases and cardiovascular diseases are inflammation, insulin resistance, dyslipidemia, angiogenesis, oxidative stress, and endothelial dysfunction. There is complex interplay and overlap among these mechanisms and their contributions to shared pathogenesis. Future translational research is necessary to elucidate the link between psoriatic diseases and cardiovascular diseases. Such findings may be applied clinically to improve the lives of psoriasis patients.
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