Medical co-morbid conditions associated with psoriasis; psoriasis beyond skin.

  • Sehrish Aftab DHQ Hospital Multan.
  • Mahvish Aftab Khan Rawal Institute of Health Sciences Islamabad.
  • Nadia x Nadia Shams Rawal Institute of Health Sciences Islamabad.
  • Sumaira x Sumaira Abdullah Akbar Niazi Teaching Hospital Islamabad.
  • Furquana Niaz Karachi Institute of Medical Sciences.
Keywords: Diabetes Mellitus, Dyslipidemia, Hypertension, Obesity, Psoriasis

Abstract

Objectives: Patients with psoriasis have higher prevalence of associated medical disorders including psoriatic arthritis, obesity, diabetes, dyslipidemia, thyroid abnormalities and cardiovascular disease. The rationale of current study was to determine prevalence of associated medical co-morbid conditions in psoriasis cases. Study Design: Descriptive cross sectional study. Setting: Dermatology Clinic, Bahawalpur Victoria Hospital. Period: January to July 2015. Material & Methods: Informed consent was obtained from 117 adult patients (>18 years) of both the genders diagnosed with psoriasis for >3 months. Patients with chronic renal failure, chronic liver disease, erythroderma, chromosomal abnormality syndromes and pregnant females were excluded. Blood pressure and body mass index; i.e. BMI=weight (kg)/ height (m2) were documented. Fasting blood sugars, HbA1c, lipid profile and electrocardiogram was done. Results: Mean age was 41.94±11.60 years. Among 117 cases, 66(56.41%) were males and 51(43.59%) were females; male to female ratio was 1.3:1. Diabetes mellitus was found in 53(45.30%), hypertension in 21(17.95%), obesity in 29(24.79%), ischemic heart disease in 62(52.99%) and dyslipidemia in 22(18.80%) patients. Conclusion: Current study concludes that patients with psoriasis have higher prevalence of ischemic heart disease and diabetes mellitus followed by obesity, dyslipidemia and hypertension. It is suggested that psoriasis cases presenting to dermatology department should be assessed for these co-morbid conditions for early diagnosis and management of these conditions.

Author Biographies

Sehrish Aftab, DHQ Hospital Multan.

MBBS, FCPS (Dermatology)

Consultant Dermatologist

 

Mahvish Aftab Khan, Rawal Institute of Health Sciences Islamabad.

MBBS, FCPS (Dermatology)

Assistant Professor Dermatology

 

Nadia x Nadia Shams, Rawal Institute of Health Sciences Islamabad.

MBBS, FCPS (Medicine)

Associate Professor Medicine

 

Sumaira x Sumaira Abdullah, Akbar Niazi Teaching Hospital Islamabad.

MD, MCPS (Dermatology)

Senior Registrar

 

Furquana Niaz, Karachi Institute of Medical Sciences.

MBBS, FCPS (Dermatology)

Associate Professor Dermatology

 

Published
2020-03-10