Abordaje integral de la comorbilidad del paciente con psoriasis

Early detection of comorbidity in psoriasis: recommendations of the National Conference on Healthcare in Psoriasis

“…Arterial hypertension [9][10][11][12] According to the definition by the WHO, arterial hypertension is defined as a systolic blood pressure of ≥ 140 mmHg or a diastolic pressure of ≥ 90 mmHg, with the exception of intermittent high blood pressure due to pregnancy, diseases, or the administration of pharmaceutical drugs [13] (Table 2). It has been established that arterial hypertension is a dependent risk factor for cardiovascular disorders [14].…”

Ambulatory blood pressure monitoring can unmask hypertension in patients with psoriasis vulgaris

“…Patients with psoriasis have excess risk of atherosclerotic vasculopathies such as coronary artery disease, hypertension, metabolic syndrome, obesity, and diabetes mellitus [5–7]. It has been clearly demonstrated that arterial hypertension is common in patients with psoriasis vulgaris, with a prevalence of 8.9% to 44.4% [8–10]. Although hypertension risk was found to be correlated with severity of psoriasis, hypertension was even more frequent in patients with mild disease compared to normal individuals when other variables like age, smoking, alcohol consumption, body mass index (BMI), and physical activity had taken into account [10].…”

Consensus Statement on the Management of Comorbidity in Patients with Rheumatoid Arthritis and Psoriasis

“…The Canadian Initiative includes 3 recommendations (recommendations 17-19) on the importance of this comorbidity. In our derivation algorithm of patients with PsO, we recommend, periodically, performing a simple scale such as the Goldberg's scale, for early detection of mood disorders and an adequate referral to the psychologist or psychiatrist as soon as they are suspected 3 . Significantly, the Canadian document also reflects the effect of the recommendations on clinical practice.…”