Recurrent Arterial and Venous Thrombotic Events in a Patient with Psoriasis. Impact of PAI-1 Polymorphism: A Case Report

Psoriasis isachronic autoimmune multisystem disease, mainly affecting the skin and joints. Its origin is related to both environmental and genetic factors. The condition affects 1-3%of the population worldwide. Psoriasis is also associated with cardiovascular risk factors, atherothrombotic events, a...

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Main Authors: Borislav Dimitrov, Veronika Gincheva, Iva Simeonova, Anika Ivanova, Maria Petkova, Dimitar Gospodinov
Format: Article
Language:English
Published: Medical University - Pleven 2016-12-01
Series:Journal of Biomedical & Clinical Research
Subjects:
Online Access:https://jbcr.arphahub.com/article/34444/download/pdf/
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author Borislav Dimitrov
Veronika Gincheva
Iva Simeonova
Anika Ivanova
Maria Petkova
Dimitar Gospodinov
author_facet Borislav Dimitrov
Veronika Gincheva
Iva Simeonova
Anika Ivanova
Maria Petkova
Dimitar Gospodinov
author_sort Borislav Dimitrov
collection DOAJ
description Psoriasis isachronic autoimmune multisystem disease, mainly affecting the skin and joints. Its origin is related to both environmental and genetic factors. The condition affects 1-3%of the population worldwide. Psoriasis is also associated with cardiovascular risk factors, atherothrombotic events, and markers of hypercoagulation (platelet activation and hyperhomocysteinemia). Venous thromboembolism (VTE) isawidespread severe disease. Both VTEand psoriasis are connected with risk factors for cardiovascular disorders (obesity and hypertension). The incidence of VTEevents in patients with psoriasis is higher. Patients with psoriasis should be checked for risk factors (metabolic disorders and cardiovascular diseases).We reportacase of a 53-year old man, diagnosed with plaque psoriasis 20 years ago, andafive year history of hypertension. In 2006, he hadastroke, and in 2011 ‒aheart attack. In 2013 he was diagnosed with thrombophlebitis. The patient was recently diagnosed with Type IIdiabetes, dyslipidemia and metabolic syndrome. The DNAanalysis revealed that the patient wasahomozygous carrier of 4G/4G (rs1799889) polymorphism in plasminogen activator inhibitor 1 (PAI-1) -a risk factor for thrombophilia. This case is important because of the major comorbidities, more particularly thrombotic events in combination withaprothrombotic mutation.
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spelling doaj-art-efdf09d563ea49b581be99a336fb16072025-08-20T02:48:09ZengMedical University - PlevenJournal of Biomedical & Clinical Research1313-90532016-12-019216316810.1515/jbcr-2016-002634444Recurrent Arterial and Venous Thrombotic Events in a Patient with Psoriasis. Impact of PAI-1 Polymorphism: A Case ReportBorislav DimitrovVeronika GinchevaIva SimeonovaAnika IvanovaMaria PetkovaDimitar GospodinovPsoriasis isachronic autoimmune multisystem disease, mainly affecting the skin and joints. Its origin is related to both environmental and genetic factors. The condition affects 1-3%of the population worldwide. Psoriasis is also associated with cardiovascular risk factors, atherothrombotic events, and markers of hypercoagulation (platelet activation and hyperhomocysteinemia). Venous thromboembolism (VTE) isawidespread severe disease. Both VTEand psoriasis are connected with risk factors for cardiovascular disorders (obesity and hypertension). The incidence of VTEevents in patients with psoriasis is higher. Patients with psoriasis should be checked for risk factors (metabolic disorders and cardiovascular diseases).We reportacase of a 53-year old man, diagnosed with plaque psoriasis 20 years ago, andafive year history of hypertension. In 2006, he hadastroke, and in 2011 ‒aheart attack. In 2013 he was diagnosed with thrombophlebitis. The patient was recently diagnosed with Type IIdiabetes, dyslipidemia and metabolic syndrome. The DNAanalysis revealed that the patient wasahomozygous carrier of 4G/4G (rs1799889) polymorphism in plasminogen activator inhibitor 1 (PAI-1) -a risk factor for thrombophilia. This case is important because of the major comorbidities, more particularly thrombotic events in combination withaprothrombotic mutation.https://jbcr.arphahub.com/article/34444/download/pdf/psoriasisvenous thromboembolismPAI-1comorbid
spellingShingle Borislav Dimitrov
Veronika Gincheva
Iva Simeonova
Anika Ivanova
Maria Petkova
Dimitar Gospodinov
Recurrent Arterial and Venous Thrombotic Events in a Patient with Psoriasis. Impact of PAI-1 Polymorphism: A Case Report
Journal of Biomedical & Clinical Research
psoriasis
venous thromboembolism
PAI-1
comorbid
title Recurrent Arterial and Venous Thrombotic Events in a Patient with Psoriasis. Impact of PAI-1 Polymorphism: A Case Report
title_full Recurrent Arterial and Venous Thrombotic Events in a Patient with Psoriasis. Impact of PAI-1 Polymorphism: A Case Report
title_fullStr Recurrent Arterial and Venous Thrombotic Events in a Patient with Psoriasis. Impact of PAI-1 Polymorphism: A Case Report
title_full_unstemmed Recurrent Arterial and Venous Thrombotic Events in a Patient with Psoriasis. Impact of PAI-1 Polymorphism: A Case Report
title_short Recurrent Arterial and Venous Thrombotic Events in a Patient with Psoriasis. Impact of PAI-1 Polymorphism: A Case Report
title_sort recurrent arterial and venous thrombotic events in a patient with psoriasis impact of pai 1 polymorphism a case report
topic psoriasis
venous thromboembolism
PAI-1
comorbid
url https://jbcr.arphahub.com/article/34444/download/pdf/
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