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Pulmonary comorbidities in psoriasis are associated with a high risk of respiratory failure
Journal article   Peer reviewed

Pulmonary comorbidities in psoriasis are associated with a high risk of respiratory failure

Kazuya Tanimura, Seyed Mehdi Nouraie, Divay Chandra and Toru Nyunoya
Journal of international medical research, Vol.51(6), p.3000605231182881
06/01/2023
DOI: 10.1177/03000605231182881
PMID: 37340719
url
https://doi.org/10.1177/03000605231182881View
Published (Version of record) Open Access

Abstract

Objectives To identify respiratory comorbidities associated with a high risk of developing respiratory failure in subjects with psoriasis. Methods This was a cross-sectional analysis of data from subjects enrolled in the UK Biobank cohort. All diagnoses were self-reported. The risk of each respiratory comorbidity was compared by logistic regression models adjusting for age, sex, weight, diabetes mellitus, and smoking history; the risk of comorbid respiratory failure for each pulmonary comorbidity was also compared. Results Of the 472,782 Caucasian subjects in the database, 3,285 self-reported a diagnosis of psoriasis. More men and smokers reported psoriasis and were older, had higher weight and body mass index, and lower pulmonary function than non-psoriatic subjects. Those with psoriasis were at significantly higher risk for multiple pulmonary comorbidities compared to those without psoriasis. Furthermore, those with psoriasis had a higher risk for respiratory failure accompanied by asthma and airflow limitation than non-psoriatic subjects. Conclusions Subjects with psoriasis and pulmonary comorbidities, such as asthma and airflow limitation, are at increased risk for respiratory failure. Common immunopathological links implicating a ‘skin-lung axis’ may underlie psoriasis and pulmonary comorbidities.
respiratory failure psoriasis Pulmonary comorbidities

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