Psoriatic Arthritis Is an Indicator of Significant Renal Damage in Patients with Psoriasis: An Observational and Epidemiological Study

Background. Psoriasis affects joints in around 30% of the patients. Recent studies have demonstrated an increased risk of essential hypertension, ischemic heart disease, and stroke in psoriatic patients. However, the prevalence of renal disease in patients with psoriasis has not been evaluated prope...

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Main Authors: Abidullah Khan, Iqbal Haider, Maimoona Ayub, Mohammad Humayun
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:International Journal of Inflammation
Online Access:http://dx.doi.org/10.1155/2017/5217687
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author Abidullah Khan
Iqbal Haider
Maimoona Ayub
Mohammad Humayun
author_facet Abidullah Khan
Iqbal Haider
Maimoona Ayub
Mohammad Humayun
author_sort Abidullah Khan
collection DOAJ
description Background. Psoriasis affects joints in around 30% of the patients. Recent studies have demonstrated an increased risk of essential hypertension, ischemic heart disease, and stroke in psoriatic patients. However, the prevalence of renal disease in patients with psoriasis has not been evaluated properly. Objectives. Objectives were to evaluate renal functions in patients with psoriasis and to assess any possible relationship of renal failure with psoriasis and psoriatic arthritis. Methods. In this cross-sectional study, 30 participants were recruited into the following three groups: group-A, psoriatic arthritis; group-B, psoriasis without arthritis; and group-C, healthy subjects. Renal function tests were performed for every participant of each group. The data was analyzed by using SPSS version 16. Chi-squared and one-way ANOVA tests were applied, considering a P value of less than 0.05 as a standard criterion. Results. Serum creatinine, urea, and phosphate were the highest in group-A, higher in group-B, and normal in group-C, P<0.05. Similarly, GFR was the lowest in group-A, lower in group-B, and normal in group-C. The difference in mean GFR values was statistically significant, F(2)=355, P<0.001. Moreover, proteinuria (gm/day) was seen in 96.7% of the patients with psoriatic arthritis, (M=1.18±0.55, P<0.05) against 10% of the psoriatic patients without arthritis (M=0.41±0.10, P<0.05). Conclusion. Derangement of renal function is more prevalent in psoriatic patients, especially in those with concomitant psoriatic arthritis. Therefore, each psoriatic patient must be routinely screened for an underlying renal failure.
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spelling doaj-art-2cbe384fbb6c4e5b86d18e1412529b952025-02-03T01:23:45ZengWileyInternational Journal of Inflammation2090-80402042-00992017-01-01201710.1155/2017/52176875217687Psoriatic Arthritis Is an Indicator of Significant Renal Damage in Patients with Psoriasis: An Observational and Epidemiological StudyAbidullah Khan0Iqbal Haider1Maimoona Ayub2Mohammad Humayun3KTH, Peshawar, PakistanKTH, Peshawar, PakistanKTH, Peshawar, PakistanKTH, Peshawar, PakistanBackground. Psoriasis affects joints in around 30% of the patients. Recent studies have demonstrated an increased risk of essential hypertension, ischemic heart disease, and stroke in psoriatic patients. However, the prevalence of renal disease in patients with psoriasis has not been evaluated properly. Objectives. Objectives were to evaluate renal functions in patients with psoriasis and to assess any possible relationship of renal failure with psoriasis and psoriatic arthritis. Methods. In this cross-sectional study, 30 participants were recruited into the following three groups: group-A, psoriatic arthritis; group-B, psoriasis without arthritis; and group-C, healthy subjects. Renal function tests were performed for every participant of each group. The data was analyzed by using SPSS version 16. Chi-squared and one-way ANOVA tests were applied, considering a P value of less than 0.05 as a standard criterion. Results. Serum creatinine, urea, and phosphate were the highest in group-A, higher in group-B, and normal in group-C, P<0.05. Similarly, GFR was the lowest in group-A, lower in group-B, and normal in group-C. The difference in mean GFR values was statistically significant, F(2)=355, P<0.001. Moreover, proteinuria (gm/day) was seen in 96.7% of the patients with psoriatic arthritis, (M=1.18±0.55, P<0.05) against 10% of the psoriatic patients without arthritis (M=0.41±0.10, P<0.05). Conclusion. Derangement of renal function is more prevalent in psoriatic patients, especially in those with concomitant psoriatic arthritis. Therefore, each psoriatic patient must be routinely screened for an underlying renal failure.http://dx.doi.org/10.1155/2017/5217687
spellingShingle Abidullah Khan
Iqbal Haider
Maimoona Ayub
Mohammad Humayun
Psoriatic Arthritis Is an Indicator of Significant Renal Damage in Patients with Psoriasis: An Observational and Epidemiological Study
International Journal of Inflammation
title Psoriatic Arthritis Is an Indicator of Significant Renal Damage in Patients with Psoriasis: An Observational and Epidemiological Study
title_full Psoriatic Arthritis Is an Indicator of Significant Renal Damage in Patients with Psoriasis: An Observational and Epidemiological Study
title_fullStr Psoriatic Arthritis Is an Indicator of Significant Renal Damage in Patients with Psoriasis: An Observational and Epidemiological Study
title_full_unstemmed Psoriatic Arthritis Is an Indicator of Significant Renal Damage in Patients with Psoriasis: An Observational and Epidemiological Study
title_short Psoriatic Arthritis Is an Indicator of Significant Renal Damage in Patients with Psoriasis: An Observational and Epidemiological Study
title_sort psoriatic arthritis is an indicator of significant renal damage in patients with psoriasis an observational and epidemiological study
url http://dx.doi.org/10.1155/2017/5217687
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AT iqbalhaider psoriaticarthritisisanindicatorofsignificantrenaldamageinpatientswithpsoriasisanobservationalandepidemiologicalstudy
AT maimoonaayub psoriaticarthritisisanindicatorofsignificantrenaldamageinpatientswithpsoriasisanobservationalandepidemiologicalstudy
AT mohammadhumayun psoriaticarthritisisanindicatorofsignificantrenaldamageinpatientswithpsoriasisanobservationalandepidemiologicalstudy