Core Concepts
Psoriasis has significant comorbidities affecting cardiovascular health, psoriatic arthritis, and mental well-being.
Abstract
The content discusses the impact of psoriasis on cardiovascular health, psoriatic arthritis, and mental health. Three experts share insights on each comorbidity, emphasizing the importance of early detection and treatment. The discussion covers the relative risk of cardiovascular events in psoriasis patients, screening recommendations for psoriatic arthritis, and psychological screening for mental health issues related to psoriasis.
Cardiovascular Disease and Psoriasis
Psoriasis is linked to an increased risk of cardiovascular events.
Severe psoriasis can lead to a 50%-60% increased risk of heart attack and stroke.
Screening recommendations include checking body mass index, blood pressure, glucose, and cholesterol.
Psoriatic Arthritis
Psoriatic arthritis affects 25%-30% of psoriasis patients.
Screening involves assessing joint pain, stiffness, back pain, and fatigue.
Recommendations include using questionnaires and conducting physical exams.
Mental Health and Psoriasis
Psoriasis has a profound impact on patients' lives, affecting various aspects of functioning.
Psychological screening can be done using simple tools like the PHQ-2 questionnaire.
Empathy plays a crucial role in patient care, even with advanced treatment options.
Stats
"People with severe psoriasis have about a 50%-60% increased risk for heart attack, stroke, and dying from that heart attack or stroke."
"If your age is between 40 and 50 years, the relative risk is 1.47 — so, a 47% increase if you have severe psoriasis."
"Patients with psoriasis are not diagnosed with PsA but have ongoing musculoskeletal inflammation."
Quotes
"The younger you are and the more severe your disease is, the more it affects your cardiometabolic health."
"Treating the disease is important for improving quality of life."
"Empathy goes a long way and psoriasis robs people of control."