The Comorbidities of Psoriasis: What Clinicians Need to Know to Optimize Care
Featuring Bruce Strober, MD, PhD |
Clinical Professor of Dermatology Yale University
Department of Dermatology
New Haven, CT
Central Connecticut Dermatology
Cromwell, CT
, Joel Gelfand, MD, MSCE, FAAD |Penn Medicine
Director, Psoriasis and Phototherapy Treatment Center
Director, Center for Clinical Sciences in Dermatology
Philadelphia, Pennsylvania
, Karan Lal, DO, MS, FAAD | DO |Director of Pediatric and Cosmetic Dermatology
Affiliated Dermatology
Scottsdale, AZ
The presentation on the comorbidities of psoriasis, led by Drs Bruce E. Strober, Joel M. Gelfand, and Karan Lal, highlighted the significant health risks associated with psoriasis. The presenters emphasized the strong connection between psoriasis and cardiovascular diseases, such as heart attack, stroke, and cardiovascular (CV) death, as well as metabolic disorders like obesity, diabetes, and hypertension, all of which are connected by the main factor of systemic inflammation. A meta-analysis showed that the severity and extent of psoriasis could be directly correlated to increased CV risk with a 1.18 and 1.41 increased risk of developing adverse outcomes in mild and severe psoriasis, respectively. It is recommended that dermatologists evaluate patients with psoriasis for CVD risk factors including elevated BMI, high cholesterol, high blood glucose, and high blood pressure levels, as well as screen and evaluate patients for psoriatic arthritis. The speakers broke down treatment options that not only manage psoriasis but also address its comorbidities, such as biologics and GLP-1 agonists, which may reduce cardiovascular risk.
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