Поражение печени при псориазе и псориатическом артрите: обзор литературы
Автор: Корсакова Ю.Л., Коротаева Т.В.
Журнал: Научно-практическая ревматология @journal-rsp
Рубрика: Обзоры
Статья в выпуске: 4 т.55, 2017 года.
Бесплатный доступ
Псориаз (Пс) является хроническим системным заболеванием, поражающим кожу. Исследования позволили выявить высокую распространенность неалкогольной жировой болезни печени (НАЖБП) у больных Пс по сравнению с общей популяцией, особенно у тех, кто страдает среднетяжелыми и тяжелыми формами Пс с высоким индексом распространенности и тяжести Пс (PASI). Определенную роль в этой взаимосвязи играют аналогичные патогенетические процессы. Среди наиболее вероятных причин выделяют резистентность к инсулину и повышение уровней провоспалительных цитокинов. По последним данным, распространенность НАЖБП и метаболического синдрома среди больных Пс выше, чем в популяции в целом. Кроме того, пациенты с НАЖБП и Пс имеют более высокий риск развития тяжелого фиброза печени, чем лица с НАЖБП и без Пс. Терапия этого состояния несомненно должна проводиться по пути не только модификации традиционных факторов риска, но и надежного подавления воспаления. Наличие ожирения и НАЖБП оказывает отрицательное влияние и на результаты лечения больных псориатическим артритом генно-инженерными биологическими препаратами.
Псориаз, псориатический артрит, неалкогольная жировая болезнь печени
Короткий адрес: https://sciup.org/14945843
IDR: 14945843 | DOI: 10.14412/1995-4484-2017-429-435
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