Diagnosis and underdiagnosis of comorbidities in psoriasis patients - need for a multidisciplinary approach
Duarte, Gleison Vieira; Oliveira, Maria de Fátima S. P. de; Follador, Ivonise; Silva, Thadeu Santo; Carvalho Filho, Edgar Marcelino de.
An. bras. dermatol
; 91(6): 743-747, Nov.-Dec. 2016. tab
Artículo
en Inglés
| LILACS | ID: biblio-837974
Abstract
BACKGROUND:
Psoriasis is an immune-mediated disease that manifests predominantly in the skin, although systemic involvement may also occur. Although associated comorbidities have long been recognized and despite several studies indicating psoriasis as an independent risk factor for cardiovascular events, little has been done in general medical practice regardind screening. In the United States, less than 50% of clinicians are aware of these recommendations.OBJECTIVE:
To identify the prevalence of these comorbidities in 296 patients followed up at a university dermatology clinic.METHODS:
Systematically investigated comorbidity frequencies were compared with general practitioners' registry frequencies. Clinical features correlated with comorbidities were also investigated.RESULTS:
High prevalences of systematically investigated comorbidities such as hypertension (30%) and dyslipidemia (26.5%) were documented. Conversely, data from general practitioners' records showed that 33% of dyslipidemia cases were undiagnosed and indicated possible underdiagnosis of some comorbidities. Furthermore, an association was found between the number of comorbidities and psoriasis duration, age and high body mass index an association was found between the number of comorbidities and psoriasis duration, age, high body mass index, waist circumference or waist-to-hip ratio. (p<0.05).CONCLUSION:
Disease duration, age and high body mass index, waist circumference or waist-to-hip ratio are possible criteria for choosing which patients should be screened for comorbidities. Underdiagnosis of comorbidities by general practitioners highlights the need for a multidisciplinary approach in psoriasis management.Asunto(s)
Humanos Masculino Femenino Adulto Persona de Mediana Edad Psoriasis/epidemiología Diabetes Mellitus/epidemiología Dislipidemias/epidemiología Hipertensión/epidemiología Índice de Severidad de la Enfermedad Brasil/epidemiología Enfermedades Cardiovasculares/etiología Fumar/efectos adversos Índice de Masa Corporal Comorbilidad Prevalencia Estudios Transversales Factores de Riesgo Estadísticas no Paramétricas Diabetes Mellitus/diagnóstico Dislipidemias/diagnóstico Circunferencia de la Cintura Hipertensión/diagnóstico
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