Cardiometabolic risk in psoriasis: differential effects of biologic agents

Mariana J KaplanDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USAAbstract: Psoriasis is associated to an increased risk of cardiovascular (CV) complications. Overall, the pathogenic mechanisms involved in premature CV complications in psoriasis appear t...

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Main Author: Mariana J Kaplan
Format: Article
Language:English
Published: Dove Medical Press 2008-12-01
Series:Vascular Health and Risk Management
Subjects:
Online Access:https://www.dovepress.com/cardiometabolic-risk-in-psoriasis-differential-effects-of-biologic-age-peer-reviewed-article-VHRM
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author Mariana J Kaplan
author_facet Mariana J Kaplan
author_sort Mariana J Kaplan
collection DOAJ
description Mariana J KaplanDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USAAbstract: Psoriasis is associated to an increased risk of cardiovascular (CV) complications. Overall, the pathogenic mechanisms involved in premature CV complications in psoriasis appear to be complex and multifactorial, with traditional and nontraditional risk factors possibly contributing to the increased risk. Based on what is known about the pathogenesis of psoriasis and extrapolating the current knowledge on CV complications in other inflammatory diseases, studies are needed to investigate if appropriate control of the inflammatory, immunologic and metabolic disturbances present in psoriasis can prevent the development of this potentially lethal complication. It is clear that there is a great need for heightened awareness of the increased risk for vascular damage in patients with psoriasis. It is also crucial to closely monitor patients with psoriasis for CV risk factors including obesity, hypertension, diabetes, and hyperlipidemia. Whether treatment regimens that effectively manage systemic inflammation will lead to prevention of CV complications in psoriasis needs to be investigated. Clearly, studies should focus on establishing the exact mechanisms that determine CV risk in psoriasis so that appropriate preventive strategies and treatment guidelines can be established.Keywords: psoriasis, atherosclerosis, inflammation, vascular
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spelling doaj.art-ad7b2ecbe3f6422989765d208133cd5c2022-12-21T17:48:02ZengDove Medical PressVascular Health and Risk Management1178-20482008-12-01Volume 4122912352018Cardiometabolic risk in psoriasis: differential effects of biologic agentsMariana J KaplanMariana J KaplanDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USAAbstract: Psoriasis is associated to an increased risk of cardiovascular (CV) complications. Overall, the pathogenic mechanisms involved in premature CV complications in psoriasis appear to be complex and multifactorial, with traditional and nontraditional risk factors possibly contributing to the increased risk. Based on what is known about the pathogenesis of psoriasis and extrapolating the current knowledge on CV complications in other inflammatory diseases, studies are needed to investigate if appropriate control of the inflammatory, immunologic and metabolic disturbances present in psoriasis can prevent the development of this potentially lethal complication. It is clear that there is a great need for heightened awareness of the increased risk for vascular damage in patients with psoriasis. It is also crucial to closely monitor patients with psoriasis for CV risk factors including obesity, hypertension, diabetes, and hyperlipidemia. Whether treatment regimens that effectively manage systemic inflammation will lead to prevention of CV complications in psoriasis needs to be investigated. Clearly, studies should focus on establishing the exact mechanisms that determine CV risk in psoriasis so that appropriate preventive strategies and treatment guidelines can be established.Keywords: psoriasis, atherosclerosis, inflammation, vascularhttps://www.dovepress.com/cardiometabolic-risk-in-psoriasis-differential-effects-of-biologic-age-peer-reviewed-article-VHRMPsoriasisatherosclerosisinflammationvascular.
spellingShingle Mariana J Kaplan
Cardiometabolic risk in psoriasis: differential effects of biologic agents
Vascular Health and Risk Management
Psoriasis
atherosclerosis
inflammation
vascular.
title Cardiometabolic risk in psoriasis: differential effects of biologic agents
title_full Cardiometabolic risk in psoriasis: differential effects of biologic agents
title_fullStr Cardiometabolic risk in psoriasis: differential effects of biologic agents
title_full_unstemmed Cardiometabolic risk in psoriasis: differential effects of biologic agents
title_short Cardiometabolic risk in psoriasis: differential effects of biologic agents
title_sort cardiometabolic risk in psoriasis differential effects of biologic agents
topic Psoriasis
atherosclerosis
inflammation
vascular.
url https://www.dovepress.com/cardiometabolic-risk-in-psoriasis-differential-effects-of-biologic-age-peer-reviewed-article-VHRM
work_keys_str_mv AT marianajkaplan cardiometabolicriskinpsoriasisdifferentialeffectsofbiologicagents