Evaluation of cardiovascular risk in people with rosacea: A prospective study

Evaluation of cardiovascular risk in people with rosacea: A prospective study

Systemic inflammation is accepted as a nontraditional cardiovascular risk factor and has been shown to play a role in all stages of atherosclerosis. Rosacea is a chronic inflammatory skin disease. In our study, we aimed to evaluate the cardiovascular risk in rosacea patients. 40 people with rosacea (30 women, 10 men) and a control group of 40 age- and sex-matched individuals (28 women, 12 men) who had no chronic inflammatory skin disease were included in the study. Participants' body mass index (BMI) was calculated and their blood pressure was measured. Fasting blood glucose, fasting blood insulin, lipid profile, hemogram, basic biochemical parameters, erythrocyte sedimentation rate, and C-reactive protein levels were analyzed after at least 8 hours of fasting. In all participants, carotid intima-media thickness (CIMT) was measured using high-resolution B-mode ultrasonography (with a 4 MHz linear transducer. The mean CIMT values were 0.62 (0.18) mm in the rosacea group and 0.50 (0.14) mm in the control group. Statistical comparison indicated that mean CIMT was significantly greater in the patients with rosacea compared to the control group (p=0.001). There was no significant difference between the rosacea and control groups in terms of mean height, weight, BMI, or systolic and diastolic blood pressures (p>0.05). People with rosacea should be monitored periodically in terms of cardiovascular disease risk.

___

  • 1. Gupta AK, Chaudhry MM. Rosacea and its management : an overview. J Eur Acad Dermatol Venereol. 2005;19(e):273–85.
  • 2. Rainer BM, Fischer AH, Da Silva LFD, et al. Rosacea is associated with chronic systemic diseases in a skin severity-dependent manner: Results of a case-control study. J Am Acad Dermatol. 2015;73:604–8.
  • 3. Egeberg A, Hansen PR, Gislason GH, Thyssen JP. Clustering of autoimmune diseases in patients with rosacea. J Am Acad Dermatol. 2016;74:667-72.
  • 4. Duman N, Ersoy Evans S, et al. Rosacea and cardiovascular risk factors: A case control study. J Eur Acad Dermatology Venereol. 2014;28:1165–9.
  • 5. Wilkin J, Dahl M, Detmar M, et al. Standard classification of rosacea. report of the national rosacea society expert committee on the classification and staging of rosacea. J Am Acad Dermatol. 2002;46:584–7.
  • 6. Expert Panel on Detection E and T of HBC in A. Executive Summary of the Third Report (NCEP) -Adult Treatment Panel III. J Am Med Assoc. 2001;285:2486–97.
  • 7. Fimmel S, Abdel-Naser MB, Kutzner H, et al. New aspects of pathogenesis of rosacea. Drug Discov Today Dis Mech. 2008;5:103–11
  • 8. Egeberg A, Fowler JF, Gislason GH, et al. Nationwide Assessment of Cause- Specific Mortality in Patients with Rosacea: A Cohort Study in Denmark. Am J Clin Dermatol. 2016;17:673–9.
  • 9. Hua TC, Chung PI, Chen YJ, et al. Cardiovascular comorbidities in patients with rosacea: A nationwide case-control study from Taiwan. J Am Acad Dermatol. 2015;73:249–54.
  • 10. Egeberg A, Hansen PR, Gislason GH, et al. Assessment of the risk of cardiovascular disease in patients with rosacea. J Am Acad Dermatol. 2016;75:336–9
  • 11. Marshall VD, Moustafa F, Hawkins SD, et al. Cardiovascular Disease Outcomes Associated with Three Major Inflammatory Dermatologic Diseases: A Propensity-Matched Case Control Study. Dermatol Ther. 2016;6:649–58.
  • 12. Mookadam F, Moustafa SE, Lester SJ, et al. Subclinical atherosclerosis: Evolving role of carotid Intima-Media thickness. Prev Cardiol. 2010;13:186–97.
  • 13. Belli AA, Gok SO, Akbaba G, et al. The relationship between rosacea and insulin resistance and metabolic syndrome. Eur J Dermatology. 2016;26:260–4.
  • 14. Gurel G, Turan Y. Noninvasive assessment of subclinical atherosclerosis in patients with rosacea. Ital J Dermatol Venerol. 2021;156:51-6.
  • 15. Ertekin SS, Koku Aksu AE, Kocyigit A, et al. Carotid intima-media thickness and serum proinflammatory cytokine levels in rosacea patients without cardiovascular risk factors. Dermatol Ther. 2021;34:e14733.
  • 16. Belli AA, Gok SO, Akbaba G, et al. The relationship between rosacea and insulin resistance and metabolic syndrome. Eur J Dermatology. 2016;26:260–4.
  • 17. Antuna-Puente B, Feve B, Fellahi S, et al. Adipokines: The missing link between insulin resistance and obesity. Diabetes Metab. 2008;34:2–11.
  • 18. Coelho M, Oliveira T, Fernandes R. Biochemistry of adipose tissue: An endocrine organ. Arch Med Sci. 2013;9:191–200.
  • 19. Derosa G, Fogari E, D’Angelo A, et al. Adipocytokine levels in obese and non-obese subjects: An observational study. Inflammation. 2013;36:914– 20.
  • 20. Kwon H, Pessin JE. Adipokines mediate inflammation and insulin resistance. Front Endocrinol (Lausanne). 2013;4:1–13.
  • 21. Steyers CM, Miller FJ. Endothelial dysfunction in chronic inflammatory diseases. Int J Mol Sci. 2014;15:11324–49.
  • 22. González-López MA, Hernández JL, Lacalle M,et al. Increased prevalence of subclinical atherosclerosis in patients with hidradenitis suppurativa (HS). J Am Acad Dermatol. 2016;75:329–35.
  • 23. Puttevils D, De Vusser P, Geusens P, et al. Increased cardiovascular risk in patients with rheumatoid arthritis: an overview. Acta Cardiol. 2014;69:111– 8.
  • 24. Balci DD, Balci A, Karazincir S, et al. Increased carotid artery intimamedia thickness and impaired endothelial function in psoriasis. J Eur Aca Dermatology Venereol. 2009;23:1–6.
  • 25. Coumbe AG, Pritzker MR, Duprez DA. Cardiovascular risk and psoriasis: Beyond the traditional risk factors. Am J Med [Internet]. 2014;127:12–8.
  • 26. Hak AE, Stehouwer CDA, Bots ML, et al. Associations of C-reactive protein with measures of obesity, insulin resistance, and subclinical atherosclerosis in healthy, middle-aged women. Arter Thromb Vasc Biol. 1999;19:1986–91.
  • 27. Esteve E, Ricart W, Fernández-Real JM. Dyslipidemia and inflammation: an evolutionary conserved mechanism. Clin Nutr. 2005;24:16–31.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Evaluation of the correlation of D-Dimer tests with tomographic findings in Covid-19 patients

Ali̇ Volkan ÖZDEMİR, Soycan MIZRAK, Hakan YILMAZ

Analysis of inmate patients admitted to emergency department of a tertiary education and research hospital: A retrospective cohort study

Cihan BEDEL, Fevzi YILMAZ, Ömer Faruk KARAKOYUN, Fatih SELVİ, Gülsüm ÇALIŞKAN, Gizem GÜLCAN

Investigation of the effect of video-assisted training on symptom management in patients undergoing liver transplantation

Eli f GÜVENÇ, Arzu TUNA

Comparison of the long-term effects of high and low altitude on the choroidal thickness

Mehmet Giray ERSÖZ, İbrahim ÖZDEMİR, Sucattin İlker KOCAMIŞ

Investigation of the reasons that affect nurses mentally negatively during the Covid-19 pandemic

Özlem GÜDÜK, Özden GÜDÜK, YELİZ DOĞAN MERİH, Emrah ÖNDER

Evaluation of Code Blue activations in Covid 19 Patients and non-COVID-19 patients: A retrospective research review

Leman ACUN DELEN, Zeliha KORKMAZ DİŞLİ

Investigation of polycystic liver disease in patients with autosomal dominant polycystic kidney disease using magnetic resonance imaging

Serkan ÜNLÜ, Mehtap ILGAR, Irem PEMPEGÜL

Effects of different larenageal mask types on hemodynamics and airway in pediatric

Hatice SELÇUK KUŞDERCİ, mesut öterkuş

Levels of obestatin in euthyroid patients receiving levothyroxine replacement therapy

ARZU BİLEN, NURİNNİSA ÖZTÜRK, Filiz MERCANTEPE, Ramazan DAYANAN, Serpil ÇİFTEL, Enver ÇİFTEL, Habib BİLEN, İlyas ÇAPOĞLU

The comparison of complete blood count parameters between acute and chronic peripheral arterial disease

Mehmet COŞGUN, Yılmaz GÜNEŞ, Aslı MANSIROĞLU, İsa SİNCER, Gülali AKTAŞ, Tayfur ERDOĞDU