The DOI matches its Crossref record; 38 of the 39 references it cites were found in a registry or an index.
Prevalence, characteristics and severity of non-alcoholic fatty liver disease in patients with chronic plaque psoriasis
Abstract
Background/aims The association between NAFLD and psoriasis has never been explored in prospective epidemiological studies. The aim of this 2-phase study was to study the clinical features of NAFLD in patients with psoriasis.Methods Phase 1: Investigation of prevalence and characteristics of NAFLD in an unselected cohort of 142 adult Italian outpatients with psoriasis vulgaris. Phase 2: Comparison of the psoriasis cohort subgroup with NAFLD and an age- and body mass index-matched retrospective cohort of 125 non-psoriasis patients with biopsy proven NAFLD.Results Based on histories, laboratory tests, and ultrasound studies, 84 (59.2%) received clinical diagnosis of NAFLD; 30 had factors potentially associated with liver disease other than NAFLD (e.g., viral hepatitis, significant ethanol, methotrexate use); and 28 (19.7%) had normal livers. Comparison of the normal-liver and NAFLD subgroups revealed that NAFLD in psoriasis patients (Ps-NAFLD) was significantly correlated with metabolic syndrome (p<0.05); obesity (p=0.043); hypercholesterolemia (p=0.029); hypertriglyceridemia (p<0.001); AST/ALT ratio >1 (p=0.019), and psoriatic arthritis (PsA) (p=0.036). The association with PsA remained significant after logistic regression analysis (OR=3.94 [CI, 1.07-14.46]). Compared with the retrospective non-psoriatic NAFLD cohort (controls), Ps-NAFLD patients (cases) were likely to have severe NAFLD reflected by non-invasive NAFLD Fibrosis Scores and AST/ALT >1.Conclusions NAFLD is highly prevalent among psoriasis patients, where it is closely associated with obesity (overall and abdominal), metabolic syndrome, and PsA, and more likely to cause severe liver fibrosis (compared with nonPs-NAFLD). Routine work-up for NAFLD may be warranted in patients with psoriasis, especially when potentially hepatotoxic drug therapy is being considered.
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“The same pathway has also been shown to occur in paraodontitis,118 psoriasis,119 celiac disease,120 obesity,121, 122 COPD,123, 124 and rheumatoid arthritis.125”
From Hypoalbuminemia: Pathogenesis and Clinical Significance (2019) · cites this paper as [119]
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Cites
Matthews, D. R., Hosker, J. P., Rudenski, A. S., Naylor, B. A., Treacher, D. F., & Turner, R. C. (1985) · Diabetologia · doi:10.1007/bf00280883 · Cited by 31,502
Grundy, S. M., Bilheimer, D. W., Chait, A., Clark, L. T., Denke, M. A., Havel, R. J., Hazzard, W. R., Hulley, S. B., Hunninghake, D. B., Kreisberg, R. A., et al. (1993) · JAMA · doi:10.1001/jama.269.23.3015 · Cited by 27,944
Expert Panel on Detection, E. (2001) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.285.19.2486 · Cited by 26,011
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P., & Initiative, F. T. S. (2007) · PLoS Medicine · doi:10.1371/journal.pmed.0040296 · Cited by 23,020
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61602-x · Cited by 21,320
Design and validation of a histological scoring system for nonalcoholic fatty liver disease†
Kleiner, D. E., Brunt, E. M., Van Natta, M., Behling, C., Contos, M. J., Cummings, O. W., Ferrell, L. D., Liu, Y., Torbenson, M. S., Unalp‐Arida, A., et al. (2005) · Hepatology · doi:10.1002/hep.20701 · Cited by 10,791
Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus
The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus* (2002) · Diabetes Care · doi:10.2337/diacare.25.2007.s5 · Cited by 10,325
Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus
The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus (1997) · Diabetes Care · doi:10.2337/diacare.20.7.1183 · Cited by 6,220
Angulo, P., Hui, J. M., Marchesini, G., Bugianesi, E., George, J., Farrell, G. C., Enders, F., Saksena, S., Burt, A. D., Bida, J. P., et al. (2007) · Hepatology · doi:10.1002/hep.21496 · Cited by 3,255
Severe Psoriasis – Oral Therapy with a New Retinoid
Fredriksson, T., & Pettersson, U. (2009) · Dermatologica · doi:10.1159/000250839 · Cited by 2,718
Research works printed but not linked: 1
- Ryan, 2004, Methotrexate monitoring: a countrywide analysis of monitoring policies among dermatologists and rheumatologists in the republic of Ireland, Rheumatology, 43, ii50
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Sorted by citations
Items 201–249 of 249
Molina‐Leyva, A., Leyva-Garcia, A., Ruiz‐Carrascosa, J. C., Naranjo‐Sintes, R., & Jiménez‐Moleón, J. J. (2013) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000015
Boulinguez, S. (2011) · Annales de Dermatologie et de Vénéréologie · doi:10.1016/s0151-9638(11)70060-6
To Biopsy or not to Biopsy: A Review of Guidelines on the use of Methotrexate
Gantz, M., & Nia, J. K. (2015) · Journal of Psoriasis and Psoriatic Arthritis · doi:10.1177/247553031500100105
Treatment of Psoriasis in the Obese: A Clinical Dilemma
Anvekar, R. A., Stevenson, M. L., & Fuchs, A. E. (2010) · Psoriasis Forum · doi:10.1177/247553031016a00409
Golovach, I. Y., & Yehudіna, Y. D. (2019) · PAIN JOINTS SPINE · doi:10.22141/2224-1507.9.1.2019.163058
Prussick, R. B., Lebwohl, M., Gunn, N., Harris, S., Vittitow, J. L., Jacobson, A. A., & Israel, R. J. (2019) · SKIN The Journal of Cutaneous Medicine · doi:10.25251/skin.3.supp.20
Tangianu, G. E. F., & Nardi, R. (2019) · Italian Journal of Medicine · doi:10.4081/itjm.q.2019.8
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Walsh, S. V. (2020) · Cambridge University Press eBooks · doi:10.1017/9781316823026.012
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Andrews, T., & Campbell, F. (2020) · Cambridge University Press eBooks · doi:10.1017/9781316823026.014
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Файрушина, И. Ф., Abdulganieva, D. I., & Mukhametshina, E. I. (2019) · Medical alphabet · doi:10.33667/2078-5631-2019-1-18(393)-34-38
Acne and itch: Pathogenic role of neurogenic inflammation
Sidorenko, Е. Е., Lvov, A. N., Валентиновна, М. А., Сидоренко, О. А., & Kolenko, N. G. (2021) · Medical alphabet · doi:10.33667/2078-5631-2021-9-7-11
Suicide attack: weapon of the weak or crime against humanity?
Ali, M. Y. (2009)
Dawson, M. I. (2010) · Wiley eBooks · doi:10.1002/0471266949.bmc065.pub2
Ho-Yen, C., & Chang, F. (2020) · Cambridge University Press eBooks · doi:10.1017/9781316823026.016
Feakins, R. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781316823026.001
Clarke, L., & Feakins, R. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781316823026.015
Olivera, A. L. M., Burgos‐Blasco, P., Selda‐Enríquez, G., & González‐Cantero, Á. (2022) · Medicine - Programa de Formación Médica Continuada Acreditado · doi:10.1016/j.med.2022.02.004
Traub, M. (2020) · Elsevier eBooks · doi:10.1016/b978-0-323-43044-9.00214-4
Feakins, R. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781316823026.029
Iñiguez, C. L., Garcı́a-Porrúa, C., Pinto-Tasende, J., Ubiaga, L. P. I., & Fernandez, A. S.-A. (2023) · Reumatología Clínica · doi:10.1016/j.reuma.2023.04.001
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Güçlü, D., Karagün, E., Ünlü, E. N., Oktay, M., & Pasin, Ö. (2023) · Konuralp Tıp Dergisi · doi:10.18521/ktd.1280187
Psoriasis in the pediatric population: comorbidities with psoriasis
Szczegielniak, M., Lesiak, A., & Narbutt, J. (2023) · Forum Dermatologicum · doi:10.5603/fd.a2023.0011
Ubiaga, C. I., Garcı́a-Porrúa, C., Pinto-Tasende, J., Ubiaga, L. P. I., & Fernandez, A. S.-A. (2023) · Reumatología Clínica (English Edition) · doi:10.1016/j.reumae.2023.04.004
Non-alcoholic fatty liver disease and psoriasis: mechanisms of comorbidity and approaches to therapy
Livzan, M. A., Gaus, O. V., & Николаевич, Е. И. (2024) · Meditsinskiy sovet = Medical Council · doi:10.21518/ms2024-045
Reena, K. M., Singh, L., & Tiwari, R. K. (2024) · IntechOpen eBooks · doi:10.5772/intechopen.1003854
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Hızlı, P., Oğuz, I. D., Kulaklı, S., Kılıç, A., & Duyan, A. (2024) · Archives of Dermatological Research · doi:10.1007/s00403-024-03193-9
“Moreover, comorbidities like obesity, dyslipidemia, and diabetes mel - litus that accompany psoriasis might elevate the risk of NAFLD which can progress to liver steatosis and subse - quently fibrosis [ 3].”
Tkachuk, E. A., Seminsky, I. Z., Kozlova, N. M., Malov, S. I., Astakhova, T. A., Abramova, A. N., & Ubusheeva, R. G. (2024) · Baikal Medical Journal · doi:10.57256/2949-0715-2024-2-11-24 · Cited by 1
Yıldırım, D., Tamer, A., Cerit, M. N., Küçük, H., & Şendur, H. N. (2024) · Kırıkkale Üniversitesi Tıp Fakültesi Dergisi · doi:10.24938/kutfd.1394513
Fleissner, J., Rocca, Y., Freund, L., Ossner, T., Imdahl, F., Doucet-Ladevèze, R., Kurz, F., Geier, A., Goebeler, M., Gasteiger, G., et al. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2025.12.22.695890 · Cited by 1
Bakay, U., Duran, T. İ., Bakay, Ö. S. K., & Ekmekçioğlu, R. (2025) · Dermatology Practical & Conceptual · doi:10.5826/dpc.160a6746
Systemic Type I Interferon Blockade Mitigates Insulin Resistance in a Preclinical Model of Psoriasis
Sinha, B. P., Bandopadhyay, P., Hoque, M. A., Liu, C. S. C., Mukherjee, S., D’Rozario, R., Roy, S., Jana, R., Pattanayak, S., Sarif, J., et al. (2026) · European Journal of Immunology · doi:10.1002/eji.70160
Étude des interrelations foie / peau dans un modèle murin de psoriasis
Vasseur, P. (2015) · theses.fr (ABES) · doi:10.70675/da720be5z0581z4928za570zaccc7abaacb7
López‐Ferrer, A., González‐Cantero, Á., Gutiérrez-Casbas, A., Martorell, A., Olveira, A., Álvarez, M. B. M., Nicolau, J., Carrascosa, J. M., Baniandrés, O., Rivera, R., et al. (2026) · Dermatology and Therapy · doi:10.1007/s13555-026-01759-1
Kılıçoğlu, M. S., Alaoui, S. E. M., Yurdakul, O. V., Tak, A. Y., & Aydın, T. (2026) · Biologics · doi:10.3390/biologics6030025
Laabidi, S., Hajlaoui, A., Abbes, M., Achour, T. B., Tabka, M., Gouiaa, D., Saïd, F., Chtioui, S., Rahmouni, S., Zouaoui, K., et al. (2026) · Arab Journal of Gastroenterology · doi:10.1016/j.ajg.2026.09.002
Dong, S., Qiu, Z., Zhao, Z., 宝辉, Liu, X., Zhanglei, M., Zhang, J., Li, H., Feng, B., & Cai, L. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1958145
Metadata
- Authors
- Miele, L., Vallone, S., Cefalo, C., La Torre, G., Di Stasi, C., Vecchio, F. M., D’Agostino, M., Gabrieli, M. L., Vero, V., Biolato, M., Pompili, M., Gasbarrini, G., Rapaccini, G., Amerio, P., De Simone, C., & Grieco, A.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- Corresponding author
- Grieco, Antonio
- Venue
- Journal of Hepatology
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 51
- Issue
- 4
- Pages
- 778-786
- ISSN
- 0168-8278 (ISSN-L)
- OpenAlex
- W2013886298
- Cited by
- 249
- References
- 39
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 13 · 2023: 9 · 2022: 13 · 2021: 18 · 2020: 45 · 2019: 19 · 2018: 13 · 2017: 16 · 2016: 11 · 2015: 13 · 2014: 15 · 2013: 9 · 2012: 13
- FWCI
- 8.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Hepatology (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Health Sciences › Medicine › Hepatology › Liver Disease Diagnosis and Treatment
- Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
- Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
- Keywords
- non-alcoholic fatty liver disease, plaque psoriasis, psoriatic arthritis, metabolic syndrome, obesity, hypertriglyceridemia, hypercholesterolemia, liver fibrosis, AST/ALT ratio, hepatotoxic drugs, prevalence, NAFLD severity
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Chronic Disease, Cross-Sectional Studies, Fatty Liver, Female, Humans, Italy, Male, Middle Aged, Obesity, Psoriasis, Cohort Studies, Arthritis, Psoriatic, Case-Control Studies, Metabolic Syndrome, Young Adult
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