2022 Taiwanese Dermatological Association (TDA), Taiwanese Association for Psoriasis and Skin Immunology (TAPSI), and Taiwan Society of cardiology (TSOC) joint consensus recommendations for the management of psoriatic disease with attention to cardiovascular comorbidities

Psoriatic disease is a chronic inflammatory disorder with skin and joint manifestations. Due to the persistent inflammatory state exhibited by patients with psoriasis, multiple systemic comorbidities occur more frequently in patients with psoriasis than in the general population, and the risk of car...

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Main Authors: Ching-Chi Chi, Yen-Wen Wu, Ting-Hsing Chao, Chih-Chiang Chen, Yi-Ju Chen, Hao-Min Cheng, Hsien-Yi Chiu, Yu-Wei Chiu, Wen-Hung Chung, Tsu-Yi Hsieh, Po-Hsun Huang, Yu-Huei Huang, Shang-Hung Lin, Tsung-Hsien Lin, Kwo-Chang Ueng, Chun-Chieh Wang, Yu-Chen Wang, Nan-Lin Wu, Charles Jia-Yin Hou, Tsen-Fang Tsai
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664622003941
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author Ching-Chi Chi
Yen-Wen Wu
Ting-Hsing Chao
Chih-Chiang Chen
Yi-Ju Chen
Hao-Min Cheng
Hsien-Yi Chiu
Yu-Wei Chiu
Wen-Hung Chung
Tsu-Yi Hsieh
Po-Hsun Huang
Yu-Huei Huang
Shang-Hung Lin
Tsung-Hsien Lin
Kwo-Chang Ueng
Chun-Chieh Wang
Yu-Chen Wang
Nan-Lin Wu
Charles Jia-Yin Hou
Tsen-Fang Tsai
author_facet Ching-Chi Chi
Yen-Wen Wu
Ting-Hsing Chao
Chih-Chiang Chen
Yi-Ju Chen
Hao-Min Cheng
Hsien-Yi Chiu
Yu-Wei Chiu
Wen-Hung Chung
Tsu-Yi Hsieh
Po-Hsun Huang
Yu-Huei Huang
Shang-Hung Lin
Tsung-Hsien Lin
Kwo-Chang Ueng
Chun-Chieh Wang
Yu-Chen Wang
Nan-Lin Wu
Charles Jia-Yin Hou
Tsen-Fang Tsai
author_sort Ching-Chi Chi
collection DOAJ
description Psoriatic disease is a chronic inflammatory disorder with skin and joint manifestations. Due to the persistent inflammatory state exhibited by patients with psoriasis, multiple systemic comorbidities occur more frequently in patients with psoriasis than in the general population, and the risk of cardiovascular (CV) diseases is significantly increased. As the pathophysiology of psoriatic disease is becoming better understood, the sharing of underlying pathogenic mechanisms between psoriatic and CV diseases is becoming increasingly apparent. Consequently, careful attention to CV comorbidities that already exist or may potentially develop is needed in the management of patients with psoriasis, particularly in the screening and primary prevention of CV disease and in treatment selection due to potential drug–drug and drug-disease interactions. Furthermore, as the use of effective biologic therapy and more aggressive oral systemic treatment for psoriatic disease is increasing, consideration of the potential positive and negative effects of oral and biologic treatment on CV disease is warranted. To improve outcomes and quality of care for patients with psoriasis, the Taiwanese Dermatological Association, the Taiwanese Association for Psoriasis and Skin Immunology, and the Taiwan Society of Cardiology established a Task Force of 20 clinicians from the fields of dermatology, cardiology, and rheumatology to jointly develop consensus expert recommendations for the management of patients with psoriatic disease with attention to CV comorbidities.
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spelling doaj.art-264fe2239d8445d4b8467eb65f433f692023-05-20T04:29:28ZengElsevierJournal of the Formosan Medical Association0929-66462023-06-0112264424572022 Taiwanese Dermatological Association (TDA), Taiwanese Association for Psoriasis and Skin Immunology (TAPSI), and Taiwan Society of cardiology (TSOC) joint consensus recommendations for the management of psoriatic disease with attention to cardiovascular comorbiditiesChing-Chi Chi0Yen-Wen Wu1Ting-Hsing Chao2Chih-Chiang Chen3Yi-Ju Chen4Hao-Min Cheng5Hsien-Yi Chiu6Yu-Wei Chiu7Wen-Hung Chung8Tsu-Yi Hsieh9Po-Hsun Huang10Yu-Huei Huang11Shang-Hung Lin12Tsung-Hsien Lin13Kwo-Chang Ueng14Chun-Chieh Wang15Yu-Chen Wang16Nan-Lin Wu17Charles Jia-Yin Hou18Tsen-Fang Tsai19Department of Dermatology, Chang Gung Memorial Hospital-Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanDivision of Cardiology, Cardiovascular Medical Center, Far Eastern Memorial Hospital, New Taipei City, Taiwan; School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanDivision of Cardiology, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan; College of Medicine, National Cheng Kung University, Tainan, TaiwanSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Dermatology, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Dermatology, Taichung Veterans General Hospital, Taichung, Taiwan; College of Medicine, National Chung Hsing University, Taichung, TaiwanSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Center for Evidence-Based Medicine, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Dermatology, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan; College of Medicine, National Taiwan University, Taipei, TaiwanDivision of Cardiology, Cardiovascular Medical Center, Far Eastern Memorial Hospital, New Taipei City, Taiwan; Department of Computer Science and Engineering, Yuan Ze University, Taoyuan, TaiwanDepartment of Dermatology, Chang Gung Memorial Hospital-Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanDivision of Allergy, Immunology and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, TaiwanDivision of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Cardiovascular Research Center, National Yang Ming Chiao Tung University, Taipei, TaiwanDepartment of Dermatology, Chang Gung Memorial Hospital-Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanCollege of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Dermatology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, TaiwanDivision of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Cardiology, Department of Internal Medicine, Chung-Shan Medical University Hospital, Taichung, Taiwan; College of Medicine, Chung-Shan Medical University, Taichung, TaiwanCollege of Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital-Linkou, Taoyuan, TaiwanDivision of Cardiology, Department of Internal Medicine, Asia University Hospital, Taichung, Taiwan; Department of Medical Laboratory Science and Biotechnology, Asia University, Taichung, TaiwanDepartment of Dermatology, MacKay Memorial Hospital, Taipei, Taiwan; Department of Medicine, MacKay Medical College, New Taipei City, TaiwanDepartment of Medicine, MacKay Medical College, New Taipei City, Taiwan; Division of Cardiology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan; Corresponding author. MacKay Memorial Hospital, No. 92, Sec. 2, Chung Shan North Rd, Taipei, 104, Taiwan.College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Dermatology, National Taiwan University Hospital, Taipei, Taiwan; Corresponding author. National Taiwan University Hospital, No. 7, Chung Shan South Rd, Taipei, 100, Taiwan.Psoriatic disease is a chronic inflammatory disorder with skin and joint manifestations. Due to the persistent inflammatory state exhibited by patients with psoriasis, multiple systemic comorbidities occur more frequently in patients with psoriasis than in the general population, and the risk of cardiovascular (CV) diseases is significantly increased. As the pathophysiology of psoriatic disease is becoming better understood, the sharing of underlying pathogenic mechanisms between psoriatic and CV diseases is becoming increasingly apparent. Consequently, careful attention to CV comorbidities that already exist or may potentially develop is needed in the management of patients with psoriasis, particularly in the screening and primary prevention of CV disease and in treatment selection due to potential drug–drug and drug-disease interactions. Furthermore, as the use of effective biologic therapy and more aggressive oral systemic treatment for psoriatic disease is increasing, consideration of the potential positive and negative effects of oral and biologic treatment on CV disease is warranted. To improve outcomes and quality of care for patients with psoriasis, the Taiwanese Dermatological Association, the Taiwanese Association for Psoriasis and Skin Immunology, and the Taiwan Society of Cardiology established a Task Force of 20 clinicians from the fields of dermatology, cardiology, and rheumatology to jointly develop consensus expert recommendations for the management of patients with psoriatic disease with attention to CV comorbidities.http://www.sciencedirect.com/science/article/pii/S0929664622003941CardiovascularComorbiditiesConsensusPsoriasisRecommendationsTaiwan
spellingShingle Ching-Chi Chi
Yen-Wen Wu
Ting-Hsing Chao
Chih-Chiang Chen
Yi-Ju Chen
Hao-Min Cheng
Hsien-Yi Chiu
Yu-Wei Chiu
Wen-Hung Chung
Tsu-Yi Hsieh
Po-Hsun Huang
Yu-Huei Huang
Shang-Hung Lin
Tsung-Hsien Lin
Kwo-Chang Ueng
Chun-Chieh Wang
Yu-Chen Wang
Nan-Lin Wu
Charles Jia-Yin Hou
Tsen-Fang Tsai
2022 Taiwanese Dermatological Association (TDA), Taiwanese Association for Psoriasis and Skin Immunology (TAPSI), and Taiwan Society of cardiology (TSOC) joint consensus recommendations for the management of psoriatic disease with attention to cardiovascular comorbidities
Journal of the Formosan Medical Association
Cardiovascular
Comorbidities
Consensus
Psoriasis
Recommendations
Taiwan
title 2022 Taiwanese Dermatological Association (TDA), Taiwanese Association for Psoriasis and Skin Immunology (TAPSI), and Taiwan Society of cardiology (TSOC) joint consensus recommendations for the management of psoriatic disease with attention to cardiovascular comorbidities
title_full 2022 Taiwanese Dermatological Association (TDA), Taiwanese Association for Psoriasis and Skin Immunology (TAPSI), and Taiwan Society of cardiology (TSOC) joint consensus recommendations for the management of psoriatic disease with attention to cardiovascular comorbidities
title_fullStr 2022 Taiwanese Dermatological Association (TDA), Taiwanese Association for Psoriasis and Skin Immunology (TAPSI), and Taiwan Society of cardiology (TSOC) joint consensus recommendations for the management of psoriatic disease with attention to cardiovascular comorbidities
title_full_unstemmed 2022 Taiwanese Dermatological Association (TDA), Taiwanese Association for Psoriasis and Skin Immunology (TAPSI), and Taiwan Society of cardiology (TSOC) joint consensus recommendations for the management of psoriatic disease with attention to cardiovascular comorbidities
title_short 2022 Taiwanese Dermatological Association (TDA), Taiwanese Association for Psoriasis and Skin Immunology (TAPSI), and Taiwan Society of cardiology (TSOC) joint consensus recommendations for the management of psoriatic disease with attention to cardiovascular comorbidities
title_sort 2022 taiwanese dermatological association tda taiwanese association for psoriasis and skin immunology tapsi and taiwan society of cardiology tsoc joint consensus recommendations for the management of psoriatic disease with attention to cardiovascular comorbidities
topic Cardiovascular
Comorbidities
Consensus
Psoriasis
Recommendations
Taiwan
url http://www.sciencedirect.com/science/article/pii/S0929664622003941
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