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.

Related Concept Videos

Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
177
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
183
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
660
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
633
Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
4.7K
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
600