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Psoriasis is the independent factor for early atherosclerosis: A prospective study of cardiometabolic risk profile.
- Source :
-
Vojnosanitetski pregled [Vojnosanit Pregl] 2016 Dec; Vol. 73 (12), pp. 1094-1101. - Publication Year :
- 2016
-
Abstract
- Background/aim: Psoriasis as multisystemic inflammatory dis-ease is related with an increased cardiometabolic risk. The aim of the study was to analyze risk biomarkers, peripheral and renal arteries ultrasonography and echocardiography for subclinical atherosclerosis and metabolic disease in 106 subjects (66 psoriasis patients and 40 controls, 20 eczema patients and 20 healthy volunteers).<br />Methods: In all exameenes following parameters were analyzed: body mass index (BMI), C-reactive protein, D-dimer, serum amyloid A (SAA), apolipoprotein (Apo) A1, ApoB, ApoB/Apo A1 index, fasting glucose, C-peptide, fasting insulinemia, homeostatic model assessment-insulin resistance (HOMA-IR), HOMA-β-cell, lipid profile, serum uric acid concentration (SUAC), 24-h proteinuria and microalbuminuria. Carotid, brachial, femoral and renal arteries ultrasonography, as well as echocardiography was also performed.<br />Results: Five of 66 (7.6%) psoriasis patients had metabolic syndrome (not present in both control groups). The following variables were increased in patients with psoriasis compared to both control groups: BMI (p = 0.012), insulinemia (p < 0.001), HOMA-IR (p = 0.003), HOMA-β cell (p < 0.001), SUAC (p = 0.006), ApoB/ApoA1 ra-tio (p = 0.006) and microalbuminuria (p < 0.001). Also, increased C-peptide (p = 0.034), D-dimer (p = 0.029), triglycerides (p = 0.044), SAA (p = 0.005) and decreased ApoA1 (p = 0.014) were found in the psoriasis patients compared to healthy controls. HDL cholesterol was decreased in the psoriasis patients compared to the control group of eczema patients (p = 0.004). Common carotid (CIMT) and femoral artery intima-media thickness (FIMT) was significantly greater (p < 0.001) and the maximal flow speed (cm/s) in brachial artery significantly de-creased (p = 0.017) in the patients with psoriasis in comparison to both control groups. In multivariate logistic regression analysis, after the adjustment for confounding variables, the most important predictor of CIMT and FIMT was the diagnosis of psoriasis (p < 0.001)..<br />Conclusion: Cardiometabolic risk biomarkers and ultrasonographic signs of early atherosclerosis are correlated with the diagnosis of psoriasis, and not to generalized eczema. Psoriasis was found to be an independent risk factor for subclinical atherosclerosis
- Subjects :
- Adult
Atherosclerosis blood
Atherosclerosis diagnostic imaging
Biomarkers blood
Body Mass Index
Carotid Intima-Media Thickness
Case-Control Studies
Chi-Square Distribution
Comorbidity
Echocardiography
Eczema blood
Eczema diagnostic imaging
Female
Humans
Logistic Models
Male
Metabolic Syndrome blood
Metabolic Syndrome diagnostic imaging
Middle Aged
Multivariate Analysis
Odds Ratio
Prognosis
Prospective Studies
Psoriasis blood
Psoriasis diagnostic imaging
Risk Assessment
Risk Factors
Serbia epidemiology
Ultrasonography, Doppler, Color
Atherosclerosis epidemiology
Eczema epidemiology
Metabolic Syndrome epidemiology
Psoriasis epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 0042-8450
- Volume :
- 73
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Vojnosanitetski pregled
- Publication Type :
- Academic Journal
- Accession number :
- 29341565
- Full Text :
- https://doi.org/10.2298/VSP150510134D