Etgü Fatma, Dervis Emine
Dermatology, Ordu University, Ordu, TUR.
Dermatology, Emine Dervis Klinik, Istanbul, TUR.
Cureus. 2024 Aug 28;16(8):e68037. doi: 10.7759/cureus.68037. eCollection 2024 Aug.
Introduction Psoriasis is a chronic, recurrent inflammatory skin condition that affects 1-3% of the global population. Increasing evidence suggests a higher prevalence of metabolic syndrome (MetS) among individuals with psoriasis. This study aims to investigate the prevalence of MetS in patients with psoriasis and compare the findings with existing literature. Methods This cross-sectional, hospital-based study included 311 patients with psoriasis. Data were retrospectively collected from hospital records. Results The study included 311 patients with psoriasis (144 females and 167 males), with a mean age of 41.6 years (range 18-87). The mean BMI was 27.13 ± 5.29 kg/m², and the average waist circumference was 93 cm. Mean fasting blood sugar levels were 100 mg/dL, mean high-density lipoprotein (HDL) cholesterol was 44 mg/dL, and mean triglycerides were 132 mg/dL. MetS was diagnosed in 60 patients (19.3%). Patients with MetS had significantly higher mean waist circumference, higher rates of hypertriglyceridemia, hyperglycemia, and hypertension, and lower mean HDL levels (p < 0.05). There was no significant association between MetS and psoriasis severity, disease duration, family history, smoking, or alcohol consumption habits. Conclusions In this study, the prevalence of MetS among patients with psoriasis was 19.3%. MetS prevalence was not linked to smoking status, alcohol consumption, family history of psoriasis, disease duration, or severity. It is crucial for dermatologists treating psoriasis patients to be aware of MetS, its components, and associated cardiovascular risks.
引言
银屑病是一种慢性复发性炎症性皮肤病,影响全球1%-3%的人口。越来越多的证据表明,银屑病患者中代谢综合征(MetS)的患病率更高。本研究旨在调查银屑病患者中MetS的患病率,并将研究结果与现有文献进行比较。
方法
这项基于医院的横断面研究纳入了311例银屑病患者。数据从医院记录中回顾性收集。
结果
该研究纳入了311例银屑病患者(144例女性和167例男性),平均年龄为41.6岁(范围18-87岁)。平均体重指数为27.13±5.29kg/m²,平均腰围为93cm。平均空腹血糖水平为100mg/dL,平均高密度脂蛋白(HDL)胆固醇为44mg/dL,平均甘油三酯为132mg/dL。60例患者(19.3%)被诊断为MetS。患有MetS的患者平均腰围显著更高,高甘油三酯血症、高血糖和高血压的发生率更高,平均HDL水平更低(p<0.05)。MetS与银屑病严重程度、病程、家族史、吸烟或饮酒习惯之间无显著关联。
结论
在本研究中,银屑病患者中MetS的患病率为19.3%。MetS患病率与吸烟状况、饮酒、银屑病家族史、病程或严重程度无关。治疗银屑病患者的皮肤科医生必须了解MetS及其组成部分以及相关的心血管风险,这至关重要。