Table 3.
Psoriasis and cardiovascular diseases comorbidity strength of recommendation and level of evidence.
| Recommendation | Strength of recommendation | Level of evidence |
|---|---|---|
| Risk assessment Recommended for all patients with psoriasis |
B | II-III |
| Screening Early and more frequent screening for hypertension, diabetes, and hyperlipidemia in patients who are candidates for systemic or phototherapy or who have psoriasis involving >10% body surface area |
B | II-III |
| Risk score models Should be adapted by introducing a 1.5 multiplication factor for patients with either >10% body surface area involvement or those who are candidates for systemic or phototherapy |
C | II-III |
| Risk management Should be carried out according to national guidelines and performed by either primary care physician or dermatologist. Target blood pressure and lipid levels are based on risk as previously calculated Antihypertensives and statins may be used as in general population |
C | III |