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Published on: March 1, 2024
Investigating the Link between Psoriasis and Cardiovascular Disease: Current Evidence, Therapeutic Implications and
Eirini Kapniari1, Prokopios Papadimitriou2, Marianna Dalamaga3
12nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens Medical School, Attikon Hospital, Athens, Greece.
Insights
Psoriasis, a chronic inflammatory skin condition, is linked to cardiovascular disease. Treatments targeting psoriasis inflammation may also benefit cardiovascular health.
Area of Science:
- Dermatology and Immunology
- Cardiology
- Systemic Inflammation
Background:
- Psoriasis is a chronic inflammatory disease with characteristic skin plaques.
- It is increasingly recognized as a systemic condition associated with comorbidities like metabolic syndrome, depression, anxiety, and cardiovascular disease.
- Psoriasis is hypothesized to be an independent cardiovascular risk factor, promoting atherosclerosis through inflammation.
Purpose of the Study:
- To review current evidence on the relationship between psoriasis and cardiovascular comorbidities.
- To discuss the underlying mechanisms connecting psoriasis and cardiovascular disease.
- To investigate the implications for managing psoriasis and its associated cardiovascular risks.
Main Methods:
- Literature review of existing studies and evidence.
- Analysis of the association between psoriasis and cardiovascular comorbidities.
- Examination of proposed pathomechanisms linking psoriasis and cardiovascular disease.
Main Results:
- Growing evidence supports psoriasis as an independent cardiovascular risk factor.
- Systemic therapies and biologic agents for psoriasis may impact cardiovascular disease progression.
- Understanding the interplay between psoriasis and cardiovascular health is crucial for treatment strategies.
Conclusions:
- Psoriasis is a systemic inflammatory disease with significant cardiovascular implications.
- Targeting systemic inflammation in psoriasis may offer cardiovascular benefits.
- Integrated management of psoriasis and cardiovascular risk factors is essential.
Abstract:
Psoriasis; a chronic inflammatory disease is characterized by symmetric hyperkeratotic plaques affecting any part of the body. Psoriasis is nowadays considered as a systemic inflammation linked with several comorbidities as metabolic syndrome, depression, anxiety and increased prevalence of cardiovascular (CV) disease. The hypothesis that psoriasis is an independent CV risk factor leading to atherosclerosis via inflammation is now widely accepted. Deciphering the underlying mechanisms interconnecting psoriasis and CV disease may have significant implications in treatment decisions. Accumulating evidence suggests that systematic therapies and recently introduced biologic agents, that control psoriasis by suppressing the chronic and systemic inflammation, may alter the progression of CV disease. We herein attempt a review of current evidence analysing the relationship between psoriasis and CV comorbidities, comment on the mechanisms underlying this association and investigate the consequences for the management of psoriasis.
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