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Psoriasis: a possible risk factor for development of coronary artery calcification

Ludwig, Ralf J.
Herzog, C.
Rostock, A.
Ochsendorf, Falk Rudiger
Zollner, Thomas Matthias
Thaci, Diamant
Kaufmann, Roland
Vogl, T. J.
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Published in British journal of dermatology. 2007, vol. 156, no. 2, p. 271-276
Abstract BACKGROUND: Psoriasis is a chronic inflammatory skin disorder affecting about 2% of white-skinned individuals. Epidemiological data on the prevalence and degree of coronary artery calcification (CAC) as an indicator for cardiovascular diseases in patients with psoriasis are contradictory. OBJECTIVES: To study the prevalence and degree of CAC as an indicator for cardiovascular diseases in 32 patients with psoriasis matched for age, sex and risk factors to an equally sized control population. METHODS: Noncontrast-enhanced 16-row spiral computed tomography was performed in patients and controls. RESULTS: We found a significantly increased prevalence (59.4% vs. 28.1%, P = 0.015) and severity (CAC score according to Agatston 3.7 vs. 0.0, P = 0.019) of CAC in patients with psoriasis. Multiple linear regression calculations identified psoriasis as a likely independent risk factor for CAC. CONCLUSIONS: Our results point towards the potentially systemic nature of the inflammatory processes underlying the pathogenesis of psoriasis, which may therefore be considered a potentially severe systemic disease.
Keywords AdultAgedCalcinosis/*etiologyCase-Control StudiesCohort StudiesCoronary Disease/*etiologyFemaleHumansMaleMiddle AgedPsoriasis/*complicationsRisk FactorsSeverity of Illness IndexTomography, X-Ray Computed
PMID: 17223866
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LUDWIG, Ralf J. et al. Psoriasis: a possible risk factor for development of coronary artery calcification. In: British journal of dermatology, 2007, vol. 156, n° 2, p. 271-276. doi: 10.1111/j.1365-2133.2006.07562.x

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Deposited on : 2013-09-20

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