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Noninvasive assessment of impaired endothelial function in psoriasis
Ulusoy RE et al. – Study demonstrates that noninvasive methods such as ultrasonography, saving time and cost-effective, can be utilized for following outpatient psoriasis disease (PD) patients for the risk of endothelial dysfunction (ED), which may preclude to atherosclerosis.

Methods
  • Main objectives of this study were:
    • Noninvasive assessment of endothelial dysfunction (ED) and
    • Diagnosing the possible early vascular development of atherosclerosis
      in psoriasis disease (PD)
  • 28 PD pts (study group) w/o any obstructive vascular involvement, compared with 28 healthy controls (control group)
  • Endothelium-independent dilation was assessed by measuring changes in brachial artery diameter following sublingual glyceryl trinitrate
  • All pts underwent a complete transthoracic echocardiographic and tissue Doppler study
  • A standard form was utilized for the documentation of the presence or absence of the known risk factors for atherosclerotic vascular disease
Results
  • No difference between pts and controls in terms of echocardiographic and tissue Doppler parameters, and baseline brachial artery diameters
  • Flow-mediated dilation showed 37% impairment in study group vs control
  • Endothelium-independent NTG dilatation did not differ in both groups
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