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Chronic Systemic Inflammatory Skin Disease as a Risk Factor for Cardiovascular Disease
David A Bulger1, Sheharyar Minhas2, Abdul Aziz Asbeutah1
1Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN.
Insights
Chronic skin diseases like psoriasis are linked to cardiovascular disease risk. Recognizing these dermatologic conditions can help identify patients needing cardiovascular risk assessment.
Area of Science:
- Dermatology
- Cardiology
- Systemic Inflammatory Diseases
Background:
- Chronic systemic skin diseases and cardiovascular diseases (CVD) have a long-recognized association.
- Recent research highlights this link, especially within systemic inflammatory conditions.
- Several dermatologic disorders are increasingly implicated in CVD risk.
Purpose of the Study:
- To review the current literature on the association between specific dermatologic conditions and cardiovascular disease.
- To explore the shared underlying mechanisms, including chronic inflammation and risk factors.
- To emphasize the role of dermatologic manifestations in identifying at-risk individuals for CVD.
Main Methods:
- Literature review of studies examining associations between psoriasis, hidradenitis suppurativa, lupus erythematosus, acanthosis nigricans, atopic dermatitis, and bullous pemphigoid with cardiovascular disease.
- Analysis of shared risk factors and underlying inflammatory pathways.
- Examination of current clinical guidelines and risk stratification strategies.
Main Results:
- Psoriasis is recognized as a risk modifier for hyperlipidemia and coronary artery disease.
- Hidradenitis suppurativa and lupus erythematosus show significantly higher rates of CVD.
- Associations are also noted between CVD and acanthosis nigricans, atopic dermatitis, and bullous pemphigoid.
Conclusions:
- Shared chronic systemic inflammation and risk factors contribute to the observed associations between dermatologic and cardiovascular diseases.
- Dermatologic manifestations can serve as important clinical indicators for heightened cardiovascular risk.
- Early identification of patients with these skin conditions may facilitate proactive cardiovascular risk management.
Abstract:
Chronic systemic skin disease and cardiovascular disease are multisystem disorders which have been associated with each other for centuries. Recent research has strengthened this association, particularly in systemic inflammatory disease. Here we explore the current literature on psoriasis, hidradenitis suppurativa, lupus erythematosus, acanthosis nigricans, atopic dermatitis, and bullous pemphigoid. Psoriasis is a chronic inflammatory disorder that has been labeled as a risk-modifier for hyperlipidemia and coronary artery disease by the American College of Cardiology ACC lipid guidelines. Cardiovascular disease is also found at a significantly higher rate in patients with hidradenitis suppurativa and lupus erythematosus. Some associations have even been noted between cardiovascular disease and acanthosis nigricans, atopic dermatitis, and bullous pemphigoid. While many of these associations have been attributed to a shared underlying disease process such as chronic systemic inflammation and shared underlying risk factors, these dermatologic manifestations can help to identify patients at higher risk for cardiovascular disease.
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