Cited by 249Liver Disease Diagnosis and TreatmentPsoriasis: Treatment and PathogenesisLiver Diseases and Immunity

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Prevalence, characteristics and severity of non-alcoholic fatty liver disease in patients with chronic plaque psoriasis

Miele, Luca, Vallone, Selenia, Cefalo, Consuelo, La Torre, Giuseppe, Di Stasi, Carmine, Vecchio, Fabio M., D’Agostino, Magda, Gabrieli, Maria L., Vero, Vittoria, Biolato, Marco, Pompili, Maurizio, Gasbarrini, Giovanni, Rapaccini, Gianludovico, Amerio, Pierluigi, De Simone, Clara, Grieco, Antonio·2009·Journal of Hepatology

DOI 10.1016/j.jhep.2009.06.008

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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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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
ORCID: Miele, Luca
Cefalo, Consuelo
Biolato, Marco
Pompili, Maurizio
Grieco, Antonio
Venue: Journal of Hepatology
Publisher: Elsevier BV
Published: 2009-10
Volume: 51
Issue: 4
Pages: 778-786
ISSN: 0168-8278 (ISSN-L)
DOI: 10.1016/j.jhep.2009.06.008
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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Prevalence, characteristics and severity of non-alcoholic fatty liver disease in patients with chronic plaque psoriasis

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