Endothelial dysfunction and its treatment in psoriasis patients

Goal. To assess the effect of a combined cytostatic therapy and sulodexide on the functional condition of the vascular endothelium in psoriatic patients. Materials and methods. The authors examined 74 patients suffering from psoriasis vulgaris and exudative form of psoriasis. Depending on the treatm...

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Main Authors: Yu. M. Shtoda, N. A. Slesarenko, A. L. Bakulev, S. R. Utz, A. N. Platonova
Format: Article
Language:English
Published: State Scientific Center of Dermatovenereology and Cosmetology 2017-08-01
Series:Vestnik Dermatologii i Venerologii
Subjects:
Online Access:https://www.vestnikdv.ru/jour/article/view/106
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author Yu. M. Shtoda
N. A. Slesarenko
A. L. Bakulev
S. R. Utz
A. N. Platonova
author_facet Yu. M. Shtoda
N. A. Slesarenko
A. L. Bakulev
S. R. Utz
A. N. Platonova
author_sort Yu. M. Shtoda
collection DOAJ
description Goal. To assess the effect of a combined cytostatic therapy and sulodexide on the functional condition of the vascular endothelium in psoriatic patients. Materials and methods. The authors examined 74 patients suffering from psoriasis vulgaris and exudative form of psoriasis. Depending on the treatment option, the patients were subdivided into two groups: Group I (n = 41) receiving a cytostatic therapy and Group II where patients received sulodexide as well. The severity of the endothelium dysfunction was assessed based on laboratory assessments such as nitrogen oxide and endothelin 1 in the blood serum. Results. Prior to the treatment, the level of nitrogen oxide was reduced and endothelin 1 was increased in the blood serum of most patients. Substantial improvement of the pathological process was observed in patients from Group I after the cytostatic therapy (total dose of methotrexate: 100 mg); no normalization of laboratory assessments was observed. In patients from Group II receiving methotrexate (total dose: 40 mg) along with sulodexide, improvement or recovery was observed after the completion of the treatment; endothelium dysfunction was normalized. Conclusion. The inclusion of sulodexide in a complex therapy normalizes endothelial dysfunction in case of psoriasis and reduces the dose and duration of methotrexate treatment.
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spelling doaj.art-5f45a6bb9b9d45248813c5a8741a43dd2023-09-02T12:17:06ZengState Scientific Center of Dermatovenereology and CosmetologyVestnik Dermatologii i Venerologii0042-46092313-62942017-08-0101626610.25208/0042-4609-2015-0-1-62-66105Endothelial dysfunction and its treatment in psoriasis patientsYu. M. Shtoda0N. A. Slesarenko1A. L. Bakulev2S. R. Utz3A. N. Platonova4Saratov State Medical University named after V.I. RazumovskySaratov State Medical University named after V.I. RazumovskySaratov State Medical University named after V.I. RazumovskySaratov State Medical University named after V.I. RazumovskySaratov State Medical University named after V.I. RazumovskyGoal. To assess the effect of a combined cytostatic therapy and sulodexide on the functional condition of the vascular endothelium in psoriatic patients. Materials and methods. The authors examined 74 patients suffering from psoriasis vulgaris and exudative form of psoriasis. Depending on the treatment option, the patients were subdivided into two groups: Group I (n = 41) receiving a cytostatic therapy and Group II where patients received sulodexide as well. The severity of the endothelium dysfunction was assessed based on laboratory assessments such as nitrogen oxide and endothelin 1 in the blood serum. Results. Prior to the treatment, the level of nitrogen oxide was reduced and endothelin 1 was increased in the blood serum of most patients. Substantial improvement of the pathological process was observed in patients from Group I after the cytostatic therapy (total dose of methotrexate: 100 mg); no normalization of laboratory assessments was observed. In patients from Group II receiving methotrexate (total dose: 40 mg) along with sulodexide, improvement or recovery was observed after the completion of the treatment; endothelium dysfunction was normalized. Conclusion. The inclusion of sulodexide in a complex therapy normalizes endothelial dysfunction in case of psoriasis and reduces the dose and duration of methotrexate treatment.https://www.vestnikdv.ru/jour/article/view/106псориаздисфункция эндотелияметотрексатсулодексидтерапияpsoriasisendothelium dysfunctionmethotrexatesulodexidetherapy
spellingShingle Yu. M. Shtoda
N. A. Slesarenko
A. L. Bakulev
S. R. Utz
A. N. Platonova
Endothelial dysfunction and its treatment in psoriasis patients
Vestnik Dermatologii i Venerologii
псориаз
дисфункция эндотелия
метотрексат
сулодексид
терапия
psoriasis
endothelium dysfunction
methotrexate
sulodexide
therapy
title Endothelial dysfunction and its treatment in psoriasis patients
title_full Endothelial dysfunction and its treatment in psoriasis patients
title_fullStr Endothelial dysfunction and its treatment in psoriasis patients
title_full_unstemmed Endothelial dysfunction and its treatment in psoriasis patients
title_short Endothelial dysfunction and its treatment in psoriasis patients
title_sort endothelial dysfunction and its treatment in psoriasis patients
topic псориаз
дисфункция эндотелия
метотрексат
сулодексид
терапия
psoriasis
endothelium dysfunction
methotrexate
sulodexide
therapy
url https://www.vestnikdv.ru/jour/article/view/106
work_keys_str_mv AT yumshtoda endothelialdysfunctionanditstreatmentinpsoriasispatients
AT naslesarenko endothelialdysfunctionanditstreatmentinpsoriasispatients
AT albakulev endothelialdysfunctionanditstreatmentinpsoriasispatients
AT srutz endothelialdysfunctionanditstreatmentinpsoriasispatients
AT anplatonova endothelialdysfunctionanditstreatmentinpsoriasispatients