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Updated: Aug 10, 2025

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Biologics for Reducing Cardiovascular Risk in Psoriasis Patients
Hitoshi Terui1, Yoshihide Asano1
1Department of Dermatology, Tohoku University Graduate School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8574, Japan.
Insights
Psoriasis patients have a high risk of cardiovascular disease (CVD). Biologics used to treat psoriasis may also reduce CVD risk by targeting inflammatory pathways linked to atherosclerosis.
Area of Science:
- Dermatology
- Cardiology
- Immunology
Background:
- Psoriasis is a chronic inflammatory skin condition frequently co-occurring with cardiovascular disease (CVD).
- CVD is a leading cause of death in psoriasis patients, necessitating risk reduction strategies.
- Psoriatic inflammation is increasingly recognized as a contributor to systemic cardiovascular risk.
Purpose of the Study:
- To review cardiovascular risk factors in psoriasis patients.
- To explore the link between psoriatic inflammation and atherosclerosis.
- To evaluate the potential of biologic therapies in mitigating CVD risk in psoriasis.
Main Methods:
- Literature review of studies on psoriasis, cardiovascular disease, and biologic therapies.
- Analysis of the role of inflammatory cytokines (TNF-α, IL-12/23, IL-17) in atherosclerosis.
- Synthesis of evidence on the cardiovascular benefits of psoriasis biologics.
Main Results:
- Psoriasis patients exhibit a high prevalence of traditional cardiovascular risk factors.
- Inflammatory mediators in psoriasis may directly contribute to the development of atherosclerosis.
- Biologic therapies targeting key inflammatory cytokines show promise in improving both psoriasis and cardiovascular health.
Conclusions:
- Cardiovascular risk management is crucial for psoriasis patients.
- Targeting specific inflammatory pathways with biologics may offer a dual benefit for skin and cardiovascular health.
- Further research is warranted to confirm the long-term cardiovascular protective effects of biologics in psoriasis.
Abstract:
Psoriasis is a chronic inflammatory skin disease with a high prevalence of cardiovascular disease (CVD), obesity, dyslipidemia, hypertension, diabetes mellitus, and metabolic syndrome. Among them, CVD is the most common cause of morbidity and mortality in psoriasis patients. Since CVD is associated with considerable morbidity and mortality, primary care clinicians are increasingly committed to reducing the risk of CVD in patients with psoriasis. Biologics targeting TNF-α, IL-12/23, and IL-17 are systemic therapies that can dramatically improve the condition of psoriasis. Recent studies have reported that these inflammatory cytokine signals may promote atherosclerosis, suggesting that biologics might be effective for improving psoriasis as well as reducing the risk of CVD. Here, we reviewed cardiovascular risk in psoriasis patients, the association between psoriatic inflammation and atherosclerosis, and the efficacy of biologics for reducing the risk of cardiovascular diseases.
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