Table 4 Proposed management of patients with skin disease at higher risk for CVD
Skin condition | Risk factor for CVD | Management |
|---|---|---|
Psoriasis | Severity, nail pitting | Refer if ≥ 3 of: TG > 150 mg/dl, HDL < 40 mg/dl, waist circumference > 94 cm (males)/> 80 cm females, fasting plasma glucose > 100 mg/dl |
Androgenic alopecia | Early onset in males, severity in females | Consider screening for insulin resistance |
Acne-rosacea | Adults | Treat insulin resistance |
Atopic dermatitis | Female sex | Consider abdominal ultrasound for visceral fat accumulation |
Lichen planus | Degree of inflammation (?) | Manage dyslipidemia/CVD |
Hidradenitis suppurativa | Severity | Check for MeTS parameters even in young patients |
Squamous cell carcinoma | Female sex | Blood glucose, triglyceride levels monitoring |
Melanoma | Male sex | Manage hypertension |
Skin tags, acanthosis nigricans, impaired wound healing | Undetermined | Treat insulin resistance |
Aging | Collagen glycation | Tighter glycemic control |