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Feature Article Dermatology
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Psoriasis: don’t miss the comorbidities

Dunja Ana Vekic, Geoffrey Cains, Jane Woods
Abstract

Psoriasis has a complex aetiology that includes genetic and immunological components. Accepted comorbidities of psoriasis include psoriatic arthritis, cardiovascular disease, metabolic syndrome and depression. Psoriasis and its comorbidities have a significant impact on a patient’s quality of life.
Correction
A correction for this article was published in the September 2015 issue of Medicine Today, and the full text PDF for this article (see link above) has been corrected.

Key Points
    • Psoriasis is a common condition characterised by erythematous, scaly patches and plaques.
    • The aetiology and pathogenesis is complex and not fully understood; however, genetic and immune-related components play a key part.
    • Accepted comorbidities of psoriasis include psoriatic arthritis, cardiovascular disease, metabolic syndrome and depression.
    • Timely diagnosis and effective management of comorbidities are vital to limit morbidity and mortality. The role of the GP is central in co-ordinating care of patients with this complex condition.
    • Comorbidities change over time, are associated with increased psoriasis severity and can occur secondary to treatments used.
    • Psoriasis and its comorbidities have a huge impact on a patient’s quality of life. Modifiable comorbidities should be treated aggressively.
    • Referral of the patient to a dermatologist is recommended when the patient does not respond to conventional therapy.

      Picture credit: © Suze777/iStockphoto. Model used for illustrative purposes only.

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