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Published on 10 April 2013

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Psoriasis linked with high blood pressure

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Psoriasis is a serious, inflammatory, noncommunicable disease, affecting more than 125 million people all over the world. People with psoriasis are known to carry an increased risk of developing severe co-morbid conditions such as diabetes and psoriatic arthritis, as well as depression and even suicidal ideation.[1] A number of studies also show that psoriasis is associated with greater prevalence of hypertension,[2] one of the most important risk factors for cardiovascular disease.[3]
“Healthcare professionals need to recognise the elevated risk that people with psoriasis carry for developing high blood pressure, and include regular tests for hypertension and other known risk factors of cardiovascular disease for this patient group”, says Lars Ettarp, President of IFPA. “There are studies indicating that treating psoriasis early and efficiently lowers the risk for co-morbid conditions, such as high blood pressure, and this needs to be taken into account when developing a treatment regimen for an individual with psoriasis.”
This year’s World Health Day focused on the global health crisis of high blood pressure and how it can be prevented, treated and controlled. According to the WHO, complications of high blood pressure account for more than nine million deaths worldwide per year and affects more than one in three adults.[4] High blood pressure has been connected to a number of behavioural risk factors, such as high salt intake, excessive use of alcohol and physical inactivity.[5]
However, it must also be acknowledged that there are other markers for hypertension and cardiovascular disease, namely genetic conditions and inflammatory diseases such as psoriasis; conditions that cannot be prevented, but in most cases can, and need to, be treated in order to minimise the risks of further complications.
References
  1. Please see IFPA’s report “Psoriasis is a serious disease deserving global attention”, available for download at www.ifpa-pso.org
  2. Neimann AL, Shin DB, Wang X, Margolis DJ, Troxel AB, Gelfand JM. Prevalence of cardiovascular risk factors in patients with psoriasis. Journal of the American Academy of Dermatology. 2006;55(5):829-35. Prodanovich S, Kirsner RS, Kravetz JD, Ma F, Martinez L, Federman DG. Association of psoriasis with coronary artery, cerebrovascular, and peripheral vascular diseases and mortality.   Archives of Dermatology. 2009 Jun;145(6):700-3. Armstrong, April W, Harskamp, Caitlin T, Armstrong, Ehrin J. The association between psoriasis and hypertension: a systematic review and meta-analysis of observational studies. Journal of Hypertension. 2013 Mar ;31(3):433–443.
  3. WHO/DCO/WHD/2013.2 A global brief on hypertension – Silent killer, global public health crisis.
  4. WHO/DCO/WHD/2013.1. Control your blood pressure.
  5. WHO/DCO/WHD/2013.2 A global brief on hypertension – Silent killer, global public health crisis.


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