银屑病与代谢综合征共病：临床意义及最佳管理
Comorbid Psoriasis and Metabolic Syndrome: Clinical Implications and Optimal Management.
作者信息
De Brandt Eveline, Hillary Tom
机构信息
Department of Dermatology, University Hospitals Leuven, Leuven, Belgium.
出版信息
Psoriasis (Auckl). 2022 May 25;12:113-126. doi: 10.2147/PTT.S293107. eCollection 2022.
PURPOSE
To review the literature on guidance on the follow-up of psoriasis and its comorbidities and to provide practical recommendations.
PATIENTS AND METHODS
A PubMed search was conducted using MeSH terms and free text keywords related to "psoriasis", "obesity", "hypertension", "diabetes", "dyslipidemia", "metabolic syndrome" and "Psoriatic arthritis". The search was conducted between September 2021 and January 2022. References of selected articles were scanned to identify additional articles.
RESULTS
Recommendations on the follow-up of hypertension, obesity, dyslipidemia, type 2 diabetes, metabolic syndrome, psoriatic arthritis, non-alcoholic fatty liver disease and inflammatory bowel disease in psoriasis patients were extracted from the included articles. These data are presented in summary tables for both adults and children. A practical and feasible approach for each comorbidity is discussed.
CONCLUSION
Awareness among dermatologists for relevant psoriasis-associated comorbidities is crucial. The dermatologist should function as gatekeeper and screen for comorbidities, in order to make timely referrals when indicated.
目的
回顾关于银屑病及其合并症随访指导的文献，并提供实用建议。
患者与方法
使用与“银屑病”“肥胖症”“高血压”“糖尿病”“血脂异常”“代谢综合征”及“银屑病关节炎”相关的医学主题词（MeSH）和自由文本关键词在PubMed上进行检索。检索于2021年9月至2022年1月进行。对所选文章的参考文献进行筛选以识别其他文章。
结果
从纳入的文章中提取了关于银屑病患者高血压、肥胖症、血脂异常、2型糖尿病、代谢综合征、银屑病关节炎、非酒精性脂肪性肝病和炎症性肠病随访的建议。这些数据以成人和儿童的汇总表形式呈现。讨论了针对每种合并症的实用可行方法。
结论
皮肤科医生对相关银屑病合并症的认识至关重要。皮肤科医生应充当守门人并筛查合并症，以便在需要时及时进行转诊。
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