RESUMO
BACKGROUND: Psoriasis is a chronic inflammatory disease associated with increased cardiovascular risk. Metabolic syndrome (MS) is a significant predictor of cardiovascular events. OBJECTIVE: To assess the prevalence of MS in a Mexican population with psoriasis. METHODS: A descriptive, case control study was performed, involving a series of 209 patients. Relevant demographic, clinical, anthropometric, and analytic information was obtained from all participants. Metabolic syndrome was diagnosed according to the NCEP-ATPIII criteria. RESULTS: The study included 103 patients with psoriasis and 106 controls. The mean age of the case patients was 48.37 years; 55% were women and 46% were men. Metabolic syndrome was significantly more common in psoriatic patients than in controls (41.7 vs. 20%, odds ratio: 1.738; 95% CI: 1.194-2.531; p < 0.001). We also found a higher frequency of diabetes mellitus (17.3 vs. 6.6%; p = 0.001), alcoholic habits (8.7 vs. 0.9%; p = 0.009), and higher levels of blood pressure (p = 0.002), BMI (p = 0.016), waist circumference (p = 0.008), and triglycerides (p = 0.002). CONCLUSIONS: Psoriatic patients have a higher prevalence of metabolic syndrome, which can favor cardiovascular events.
Assuntos
Síndrome Metabólica/complicações , Síndrome Metabólica/epidemiologia , Psoríase/complicações , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , PrevalênciaRESUMO
BACKGROUND: The eruptive vellous cyst is a benign clinical entity that arises from the infundibulum of the hair unit, characterized by asymptomatic yellowish or brownish papulocystic lesions. In most cases, chest and extremities are involved. Clinical and epidemiological information in Mexico is scarce. OBJECTIVE: To describe the prevalence and demographic and clinical findings of eruptive vellous hair cysts confirmed by histopatological study. MATERIAL AND METHODS: A descriptive, cross sectional study was performed, including all cases with histological diagnosis of eruptive vellous hair cysts from Hospital General Dr. Manuel Gea González database. RESULTS: Seventeen cases were included, 11.7% of them had familiar history of eruptive vellous hair cysts; the most affected anatomical areas were chest, head and extremities (43.7, 37.5 y 31.2%, respectively). Differential diagnosis with epidermoid cysts and multiple steatocistoma was performed more frequently. The prevalence of our center from 1993-2012 was 1.6%. CONCLUSIONS: The characteristics of our patients are similar to those described elsewhere. In addition, we estimated the real prevalence of this condition. They had a benign course and are a basically cosmetic concern, but represent a chronic and difficult to treat condition.
