Özkur Ezgi, Uğurer Ece, Altunay İlknur Kıvanç
Department of Dermatology, Health Sciences University Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Sisli Etfal Hastan Tip Bul. 2020 Mar 25;54(1):62-66. doi: 10.14744/SEMB.2018.48108. eCollection 2020.
Lichen planus (LP) is a chronic inflammatory disease that affects the skin, mucous membranes, scalp and nails. It has been reported that diabetes mellitus and dyslipidemia prevalence were higher in patients with LP. However, most of these reports were retrospective, database search, which included patients who were on lipid-lowering drugs. This study aims to conduct a prospective case-control study to investigate the association between LP and dyslipidemia.
Methods: This study was conducted on 49 patients with LP (mucosal or cutaneous) and 99 healthy controls. All patients were subjected to clinical and histological examination, whereas controls were subjected to clinical examination. The variables analyzed were age, sex, tobacco consumption, hypertension, lipid profiles and fasting blood glucose.
Results: Serum levels of triglycerides, total cholesterol and LDL cholesterol were higher in patients with LP. However, there was no significant difference between patients with LP and controls. No significant differences between LP patients and controls were observed with the average age, sex, tobacco consumption and hypertension.
Conclusion: This prospective case-control study demonstrated that dyslipidemia was more common among patients with LP. Physicians should be aware of this association and consider screening them for dyslipidemia.
扁平苔藓(LP)是一种影响皮肤、黏膜、头皮和指甲的慢性炎症性疾病。据报道,LP患者中糖尿病和血脂异常的患病率较高。然而,这些报告大多是回顾性的数据库搜索,其中包括正在服用降脂药物的患者。本研究旨在进行一项前瞻性病例对照研究,以调查LP与血脂异常之间的关联。
本研究对49例LP患者(黏膜或皮肤型)和99例健康对照者进行。所有患者均接受临床和组织学检查,而对照者仅接受临床检查。分析的变量包括年龄、性别、吸烟情况、高血压、血脂谱和空腹血糖。
LP患者的血清甘油三酯、总胆固醇和低密度脂蛋白胆固醇水平较高。然而,LP患者与对照者之间无显著差异。LP患者与对照者在平均年龄、性别、吸烟情况和高血压方面未观察到显著差异。
这项前瞻性病例对照研究表明,血脂异常在LP患者中更为常见。医生应意识到这种关联,并考虑对他们进行血脂异常筛查。