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Commentaries
Cardiovascular Risk in Psoriasis
Riesgo cardiovascular en psoriasis
M.P. González García
Servicio de Medicina Interna, Hospital San Jorge, Huesca, Spain
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            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Medicina Interna&#44; Hospital San Jorge&#44; Huesca&#44; Spain"
            "identificador" => "aff0005"
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        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Riesgo cardiovascular en psoriasis"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Psoriasis is a highly frequent chronic inflammatory disease whose course is complicated by accompanying conditions such as fatty liver&#44; inflammatory bowel disease&#44; or depression&#46; Cardiovascular risk factors are of great interest because of their evident prognostic relevance&#46; Such factors include diabetes mellitus&#44; arterial hypertension&#44; dyslipidemia&#44; and abdominal obesity&#46; The most commonly associated condition is metabolic syndrome&#46; Because psoriasis is currently considered an independent risk factor for cardiovascular disease&#44;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> an integrated approach to associated risk management is essential&#46; Smoking further increases cardiovascular risk and is also highly prevalent in psoriasis patients&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">An interesting article by Argote et al&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> in this issue of <span class="elsevierStyleItalic">Actas Dermo-Sifiliogr&#225;ficas</span> analyzes the presence of cardiovascular risk factors in a group of 40 adults with psoriasis attended in the dermatology department of Hospital San Jos&#233; in Bogot&#225;&#44; Colombia&#46; The authors found elevated prevalence rates of 35&#37; for hypertension&#44; 17&#46;5&#37; for dyslipidemia&#44; 10&#37; for diabetes&#44; and 17&#46;5&#37; for smoking&#46; These data are generally consistent with other reports in the literature&#46; The prevalence of metabolic syndrome was nearly 50&#37; in this psoriasis group&#44; and 18&#46;2&#37; were at high risk of a coronary event&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Persons with psoriasis have also been reported to have a higher-than-usual frequency of subclinical atherosclerosis in the form of increased carotid intima-media thickness&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> Argote et al&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> were able to demonstrate by carotid ultrasound imaging that thickness had increased in 15&#37; of their patients and that this measure correlated with cardiovascular risk indicators&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">To summarize&#44; patients with psoriasis are at higher risk of cardiovascular disease and death&#46; Strict management of associated cardiovascular risk factors is critical for them&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Gonz&#225;lez M&#46; Cardiovascular Risk in Psoriasis&#46; Actas Dermosifiliogr&#46; 2017&#59;108&#58;701&#46;</p>"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Usefulness of the Framingham risk score in patients with chronic psoriasis"
                      "autores" => array:1 [
                        0 => array:2 [
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                          "autores" => array:4 [
                            0 => "P&#46; Gisondi"
                            1 => "S&#46; Farina"
                            2 => "M&#46;V&#46; Giordano"
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                    0 => array:2 [
                      "doi" => "10.1016/j.amjcard.2010.08.016"
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                        "tituloSerie" => "Am J Cardiol"
                        "fecha" => "2010"
                        "volumen" => "106"
                        "paginaInicial" => "1754"
                        "paginaFinal" => "1757"
                        "link" => array:1 [
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                            "web" => "Medline"
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                0 => array:3 [
                  "comentario" => "http&#47;&#47;file&#58;&#47;&#47;dx&#46;doi&#46;org&#47;10&#46;1016&#47;j&#46;ad&#46;2017&#46;04&#46;015"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Factores de riesgo cardiovascular y grosor de la &#237;ntima media carot&#237;dea en una poblaci&#243;n colombiana con psoriasis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Argote"
                            1 => "A&#46; Mora-Hern&#225;ndez"
                            2 => "L&#46; Milena Aponte"
                            3 => "D&#46;I&#46; Barrera-Chaparro"
                            4 => "L&#46;M&#46; Mu&#241;oz Ruiz"
                            5 => "L&#46; Girardo-Mordecay"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Psoriasis&#58; una enfermedad cut&#225;nea relacionada con riesgo cardiovascular elevado"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;A&#46; Gonz&#225;lez-Gay"
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                            2 => "C&#46; Gonz&#225;lez-Juanatey"
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                    0 => array:2 [
                      "doi" => "10.1016/j.ad.2012.01.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
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                        "volumen" => "103"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22465257"
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Article information
ISSN: 15782190
Original language: English
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