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

Pulmonary comorbidities in psoriasis are associated with a high risk of respiratory failure.
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DOI:
10.1177/03000605231182881
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发表时间:
2023-06
期刊:
The Journal of international medical research
影响因子:
--
通讯作者:
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其他
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确定银屑病患者发生呼吸衰竭高风险相关的呼吸合并症。这是一项对英国生物银行队列受试者数据的横断面分析。所有诊断均为自我报告。通过调整年龄、性别、体重、糖尿病和吸烟史等因素后的logistic回归模型比较各呼吸道合并症的风险;还比较了每种肺部合并症并发呼吸衰竭的风险。在数据库中的472,782名高加索受试者中,有3,285人自我报告诊断为牛皮癣。与非银屑病受试者相比,更多的男性和吸烟者报告患有银屑病,年龄较大,体重和体重指数较高,肺功能较低。与没有牛皮癣的人相比,患有牛皮癣的人患多种肺部合并症的风险明显更高。此外,与非银屑病患者相比,银屑病患者出现呼吸衰竭、哮喘和气流受限的风险更高。伴有银屑病和肺部合并症(如哮喘和气流受限)的受试者发生呼吸衰竭的风险增加。常见的免疫病理联系暗示“皮肤-肺轴”可能是银屑病和肺部合并症的基础。
To identify respiratory comorbidities associated with a high risk of developing respiratory failure in subjects with psoriasis. 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. 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. 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.
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