Psoriasis, Psoriatic Arthritis and Tophaceous Gout
Authors:
P. Cetkovská
Authors place of work:
Dermatovenerologická klinika, FN a LFUK v Plzni
přednosta prof. MUDr. Karel Pizinger, CSc.
Published in the journal:
Čes-slov Derm, 91, 2016, No. 1, p. 14-16
Category:
Case interpretation
Summary
Psoriasis is a chronic inflammatory disease, frequently associated with other comorbidities including mainly psoriatic arthritis, metabolic syndrome and inflammatory bowel disease. Patients with psoriasis often have increased blood levels of uric acid and might develop gout. A case of a 47-year-old obese female with severe plaque psoriasis and psoriatic arthritis controlled by biologic therapy who developed gouty arthritis is described. We would like to point out another possible metabolic disorder potentially associated with psoriasis that presents an emerging risk factor, especially regarding cardiovascular complications.
Key words:
psoriasis – psoriatic arthritis – gout – gouty tophi
Zdroje
1. CASSANO, N., CARBONARA, M., PANARO, M. et al. Role of serum uric acid in conditioning the association of psoriasis with metabolic syndrome. Eur. J. Dermatol., 2011, 21, p. 808–809.
2. CETKOVSKÁ, P., PIZINGER, K., ŠTORK, J. Kožní změny u interních onemocnění. 1. vyd., Praha: Grada Publishing, 2010, 240 s.
3. GISONDI, P., TARGHER, G., CAGALLI, A., GIROLOMONI, G. Hyperuricemia in patients with chronic plaque psoriasis. J. Am. Acad. Dermatol., 2014, 70, p. 127–130.
4. GONZALEZ-GAY, M. A., GONZALEZ-JUANATEY, C., VAZQUEZ-RODRIGUEZ, T. R. et al. Asymptomatic hyperuricemia and serum uric acid concentration correlate with subclinical atherosclerosis in psoriatic arthritis patients without clinically evident cardiovascular disease. Semin. Arthritis Rheum., 2009, 39, p. 157–162.
5. CHOI, H. K., ATKINSON, K., KARLSON, E. W. et al. Alcohol intake and risk of incident gout in men: a prospective study. The Lancet, 2014, 363.
6. LIU, M., LI, J. H., LI, B. et al. Coexisting gout, erythrodermic psoriasis and psoriatic arthritis. Eur. J. Dermatol., 2009, 19, p. 184–185.
7. MEROLA, J. F., WU, S., HAN, J. et al. Psoriasis, psoriatic arthritis and risk of gout in US men and women. Ann. Rheum. Dis., Published Online, 2014.
8. VELČEVSKÝ, P., LACINA, L., ŠLAJSOVÁ, M., ŠTORK, J. Klinický případ: Bělavé noduly na palci. – Arthritis uratica. Čes. slov. Derm., 2007, 82, 1, s. 265–267.
9. ZÁVADA, J. Terapie dny. In Pavelka, K., Arenberger, P., Lukáš, M., Zima, T., Doležal, T., Olejárová, M., Cetkovská, P. et al. Biologická léčba zánětlivých autoimunitních onemocnění. Praha: Grada Publishing, 2014, 384 s.
Štítky
Dermatology & STDs Paediatric dermatology & STDsČlánok vyšiel v časopise
Czech-Slovak Dermatology
2016 Číslo 1
Najčítanejšie v tomto čísle
- Hereditary Ichthyoses
- Congenital Dermatofibrosarcoma Protuberans
- Psoriasis, Psoriatic Arthritis and Tophaceous Gout