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Analysis of Cardiovascular Risk Factors in Patients with Psoriasis: A Cross-Sectional Study
Barbara S Kahlow1, Ana Paula Beckhauser1, Thelma L Skare1
1Department of Medicine, Mackenzie Evangelical School of Medicine Paraná, Curitiba, Paraná, Brazil.
Psoriasis patients show increased atherosclerotic risk, including higher rates of diabetes and hypertension, and elevated carotid intima-media thickness (cIMT). Arthritis did not significantly worsen these cardiovascular risk factors in the study.
Area of Science:
- Cardiovascular Health
- Dermatology
- Rheumatology
Background:
- Psoriasis is linked to increased cardiovascular disease risk.
- Psoriatic arthritis may further elevate this risk.
- Understanding these associations is crucial for patient management.
Purpose of the Study:
- To compare atherosclerotic risk factors and carotid intima-media thickness (cIMT) in psoriasis patients with and without psoriatic arthritis.
- To assess the impact of psoriatic arthritis on cardiovascular risk in psoriasis patients.
Main Methods:
- Retrospective chart review of 127 participants (49 controls, 78 psoriasis patients).
- Collected data on demographics, comorbidities, and treatments.
- Performed laboratory assessments (lipid profile, fasting glucose) and ultrasound-measured cIMT.
Main Results:
- Psoriasis patients had higher frequencies of diabetes and hypertension than controls.
- Psoriasis patients showed significantly elevated cIMT compared to controls (0.68 mm vs. 0.57 mm).
- No significant differences in atherosclerotic risk factors or cIMT were found between psoriasis patients with and without arthritis.
Conclusions:
- Psoriasis patients, irrespective of arthritis, have heightened atherosclerotic risk.
- This study did not demonstrate that psoriatic arthritis exacerbates cardiovascular risk in psoriasis patients.
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