银屑病患者的血脂谱:一项对照研究。

The lipid profile in psoriasis: a controlled study.

作者信息

Akhyani M, Ehsani A H, Robati R M, Robati A M

机构信息

Department of Dermatology, Razi Hospital, Medical Sciences/University of Tehran, Tehran, Iran.

出版信息

J Eur Acad Dermatol Venereol. 2007 Nov;21(10):1330-2. doi: 10.1111/j.1468-3083.2007.02260.x.

Abstract

BACKGROUND

Psoriasis is an inflammatory dermatosis that is characterized with hyperproliferation of keratinocytes and inflammatory infiltration in the epidermis and dermis. The high prevalence of atherosclerosis has been reported in psoriatic patients. High serum lipid level has been suggested in the pathogenesis of this phenomenon. In this study, our purpose was to compare the lipid profile in psoriatic patients with non-affected persons.

METHODS

This study was designed and conducted as a case-control assay with 50 cases in the patient and control groups, respectively. The lipid profile, including serum level of triglyceride, cholesterol, low-density lipoprotein (LDL), and high-density lipoprotein (HDL), were assessed in both groups.

RESULTS

The patient and control groups each consisted of 50 cases (39 male and 11 female). The serum triglyceride, cholesterol, and LDL was significantly higher in psoriatic patients (P < 0.05) but not for HDL (P = 0.29).

CONCLUSION

This study, like previous assays, shows that high serum lipid level is significantly more common in psoriasis. This fact may be responsible for higher prevalence of cardiovascular accident in psoriatic patients. It may be useful to do early screening and treatment of hyperlipidaemia in psoriasis to prevent the atherosclerosis and its complications.

摘要

背景

银屑病是一种炎症性皮肤病,其特征为角质形成细胞过度增殖以及表皮和真皮的炎症浸润。银屑病患者中动脉粥样硬化的高患病率已有报道。高血清脂质水平被认为与这一现象的发病机制有关。在本研究中,我们的目的是比较银屑病患者与未患病者的血脂谱。

方法

本研究设计并开展为一项病例对照试验,患者组和对照组各有50例。对两组均评估了血脂谱,包括血清甘油三酯、胆固醇、低密度脂蛋白(LDL)和高密度脂蛋白(HDL)水平。

结果

患者组和对照组各有50例(39例男性和11例女性)。银屑病患者的血清甘油三酯、胆固醇和LDL显著更高(P < 0.05),但HDL并非如此(P = 0.29)。

结论

本研究与先前的试验一样,表明高血清脂质水平在银屑病中显著更为常见。这一事实可能是银屑病患者心血管意外患病率较高的原因。对银屑病患者进行高脂血症的早期筛查和治疗可能有助于预防动脉粥样硬化及其并发症。

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