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Published on: March 1, 2024
Psoriasis: is it a risk factor for cardiovascular diseases?
Hesham Nada1, Attef Elakhrass1, Neven Ahmad1
1Dermatology & Andrology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Insights
Psoriasis patients show higher rates of subclinical atherosclerosis and dyslipidemia. This indicates an increased risk for cardiovascular diseases (CVDs) in individuals with psoriasis.
Area of Science:
- Dermatology
- Cardiology
- Inflammation
Background:
- Psoriasis is a systemic inflammatory condition.
- High prevalence of cardiovascular diseases (CVDs) observed in psoriasis patients.
- CVDs include atherosclerosis and myocardial infarction.
Purpose of the Study:
- Assess subclinical atherosclerosis in psoriasis patients.
- Determine increased risk for cardiovascular disorders in psoriatic patients.
- Evaluate carotid artery intima-media thickness (C-IMT) as a predictor.
Main Methods:
- Study included 40 adult psoriatic patients and 40 healthy controls.
- Assessed psoriasis severity using Psoriasis Area and Severity Index (PASI) score.
- Measured serum lipid profiles and C-IMT.
Main Results:
- Psoriatic patients had significantly higher serum lipid profiles and C-IMT.
- Positive correlation found between C-IMT and patient age (r=0.760, p<.001).
- Significant correlation between C-IMT and psoriasis severity (PASI score).
Conclusions:
- Psoriatic patients exhibit increased susceptibility to CVDs.
- Elevated incidence of subclinical atherosclerosis and dyslipidemia in psoriasis patients.
- C-IMT and lipid profiles are key indicators of CVD risk in psoriasis.
Background/Objectives:
Psoriasis, newly considered as a systemic inflammatory condition, has a high prevalence of cardiovascular diseases (CVDs), including atherosclerosis and myocardial infarction. Measurement of carotid artery intima-media thickness (C-IMT) represents a noninvasive diagnostic tool for predicting cardiovascular disorders. We aimed to determine if psoriatic patients have an increased risk for the development of cardiovascular disorders by assessment of the presence of subclinical atherosclerosis in psoriasis patients.
Methods:
Forty adult psoriatic patients and 40 matched healthy controls were selected in this study. All participants were subjected to full history, examination, assessment of the severity of psoriasis using psoriasis area and severity index (PASI) score, measuring serum lipid profile (cholesterol, low density lipoprotein (LDL) and triglycerides) and C-IMT.
Results:
Psoriatic patients showed significantly higher serum lipid profile findings and C-IMT. There was a positive statistically significant correlation between C-IMT and each of age of the patients (r = 0.760, p<.001) and severity of psoriasis (PASI score).
Conclusions:
There is increased susceptibility to CVDs in psoriatic patients represented by increased incidence of subclinical atherosclerosis and dyslipidemia in our patients.
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