Inflammatory dilated cardiomyopathy associated with psoriasis: a case report.

Autor: Riasi H; Department of Neurology, School of Medicine, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran., Asgari Jafarabadi E; Department of Pediatrics, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran., Enayati H; Student Research Committee, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran., Fanoodi A; Student Research Committee, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran., Salehi S; Student Research Committee, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran., Jamshidi AR; Medical Student, College of Medicine, Baghyatallah University of Medical Sciences, Tehran, Iran., Salehi F; Department of Pediatrics, School of Medicine, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran. salehiforod@gmail.com.; Medical School of Birjand University of Medical Sciences, Ghafari Blvd, Birjand, South Khorasan, Iran. salehiforod@gmail.com., Rezaee A; Assistant Professor of Rheumatology, Department of Internal Medicine, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran.; Clinical Research Development Unit, Vali-E-Asr Hospital, Birjand University of Medical Sciences, Birjand, Iran.
Jazyk: angličtina
Zdroj: Journal of medical case reports [J Med Case Rep] 2023 Nov 13; Vol. 17 (1), pp. 469. Date of Electronic Publication: 2023 Nov 13.
DOI: 10.1186/s13256-023-04207-2
Abstrakt: Background: Psoriasis is a chronic inflammatory skin disease with a genetic basis. Psoriasis is accepted as a systemic, immune-mediated disease. Hypertension, obesity, metabolic disorders including diabetes mellitus and hyperlipidemia, and psychiatric disorders are more prevalent among children with psoriasis compared to children without psoriasis. In this study, we report a case of dramatic response of inflammatory cardiomyopathy to anti-inflammatory treatment of psoriasis; which might reveal similar pathogenesis basis of these two diseases.
Case Presentation: A 9-year-old Caucasian boy presenting with signs and symptoms of heart failure refractory to conventional therapies was admitted to our pediatric cardiology service. As the patient also had psoriasis, and considering the fact that there might be an association between the two conditions, immunosuppressive drugs were administered, which led to a dramatic improvement in heart function.
Conclusions: The results of this study add to evidence linking psoriasis with inflammatory dilated cardiomyopathy. Clinicians, particularly cardiologists, must pay special attention to the cardiac complications of systemic diseases.
(© 2023. BioMed Central Ltd., part of Springer Nature.)
Databáze: MEDLINE
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