Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Department of Medicine, Division of Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Clin Immunol. 2020 May;214:108397. doi: 10.1016/j.clim.2020.108397. Epub 2020 Mar 27.
Psoriatic arthritis is an inflammatory arthropathy frequently associated with psoriasis and several other comorbidities. The goal of this review is to summarize the available evidence on the epidemiology, clinical implications, pathological mechanisms proposed, and screening and management recommendations for the comorbidities related with PsA. Reported comorbidities include cardiovascular disease, metabolic syndrome, obesity, diabetes mellitus, dyslipidemia, inflammatory bowel disease, fatty liver disease, uveitis, kidney disease, infections, osteoporosis, depression, central sensitization syndrome, and gout. Given that these comorbidities may affect both clinical outcomes and the management for these patients, their recognition and monitoring by all health-care providers caring for patients with psoriatic arthritis is of utmost importance.
银屑病关节炎是一种炎症性关节病,常与银屑病和其他几种合并症相关。本综述的目的是总结银屑病关节炎相关合并症的流行病学、临床意义、提出的病理机制以及筛查和管理建议方面的现有证据。报告的合并症包括心血管疾病、代谢综合征、肥胖症、糖尿病、血脂异常、炎症性肠病、脂肪肝、葡萄膜炎、肾脏疾病、感染、骨质疏松症、抑郁症、中枢敏化综合征和痛风。鉴于这些合并症可能影响患者的临床结局和管理,所有照顾银屑病关节炎患者的医疗保健提供者都必须认识和监测这些合并症。