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采用无创超声方法评估血管内皮功能与轻度至中度斑块型银屑病患者血清不对称二甲基精氨酸浓度的关系。

Vascular endothelial function assessed by a noninvasive ultrasound method and serum asymmetric dimethylarginine concentrations in mild-to-moderate plaque-type psoriatic patients.

机构信息

Ministry of Health Sivas Numune Hospital, Department of Medical Biochemistry, 58040 Sivas, Turkey.

Sisli Istanbul Florence Nightingale Hospital, Department of Cardiology, 34387 Istanbul, Turkey.

出版信息

Clin Biochem. 2011 Sep;44(13):1080-1084. doi: 10.1016/j.clinbiochem.2011.06.007. Epub 2011 Jun 17.

Abstract

OBJECTIVES

Our aim was to evaluate vascular endothelial function assessed by serum asymmetric dimethylarginine (ADMA) concentrations and noninvasive ultrasonographic parameters such as flow-mediated dilatation (FMD) and nitroglycerin-induced dilatation (NID) in mild-to-moderate plaque-type psoriatic patients, as rated by the Psoriasis Area and Severity Index.

DESIGN AND METHODS

Plaque-type psoriatic patients (n = 29) diagnosed with clinical and/or histopathological findings and control subjects (n = 25) without skin and systemic metabolic diseases were included in the study.

RESULTS

There was no statistically significant difference between patients and control subjects in respect to FMD (p = 0.441), NID (p = 0.557), or serum ADMA concentrations (p = 0.225). Also, among the acute-phase reactants, serum C-reactive protein and plasma fibrinogen levels were moderately higher in patients when compared to control subjects (p = 0.008 and p = 0.011, respectively).

CONCLUSIONS

Mild-to-moderate plaque-type psoriatic patients with low-to-medium grade systemic inflammation did not have evidence of vascular endothelial function.

摘要

目的

我们旨在评估轻度至中度斑块型银屑病患者的血管内皮功能,这些患者通过血清不对称二甲基精氨酸(ADMA)浓度和非侵入性超声参数(如血流介导的扩张(FMD)和硝酸甘油诱导的扩张(NID))进行评估,这些参数通过银屑病面积和严重程度指数(PASI)进行评级。

设计和方法

将临床和/或组织病理学发现诊断为斑块型银屑病的患者(n=29)和无皮肤和全身代谢疾病的对照组患者(n=25)纳入研究。

结果

患者与对照组之间在 FMD(p=0.441)、NID(p=0.557)或血清 ADMA 浓度(p=0.225)方面无统计学显著差异。此外,在急性期反应物中,与对照组相比,患者的血清 C 反应蛋白和血浆纤维蛋白原水平中等偏高(p=0.008 和 p=0.011)。

结论

低至中度全身性炎症的轻度至中度斑块型银屑病患者没有血管内皮功能受损的证据。

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