Clusterin and Psoriasis; What is the Relation?

Background: Atherosclerotic infarction accounts for a sizable proportion of cerebral infarcts whether occurs from extracranial or intracranial atherosclerotic disease. Despite recent studies on stroke risk factors; it is still unclear whether or not single risk factor specifically affect extracrania...

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Autores principales: Osama Hashem, Zakaria Obaid, Heshm Abd Alsamee, Fatma Youssef
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Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2020
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Acceso en línea:https://doaj.org/article/c92b7413f2544e8aab509cf802663d40
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spelling oai:doaj.org-article:c92b7413f2544e8aab509cf802663d402021-12-02T10:38:27ZClusterin and Psoriasis; What is the Relation?2636-41742682-378010.21608/ijma.2019.12703.1005https://doaj.org/article/c92b7413f2544e8aab509cf802663d402020-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_50273_fc795ad88fc61b2d27079fd878d53f12.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Atherosclerotic infarction accounts for a sizable proportion of cerebral infarcts whether occurs from extracranial or intracranial atherosclerotic disease. Despite recent studies on stroke risk factors; it is still unclear whether or not single risk factor specifically affect extracranial or intracranial arteries in stroke patients. Aim of the work: To determine the difference between intracranial and extracranial steno-occlusive atherosclerosis and its correlation with risk factors of acute ischemic stroke using Magnetic Resonance Angiogram (MRA) and/or Computed Tomography Angiography (CTA) with Duplex. Patients and methods: All cases diagnosed as acute ischemic stroke were subjected to detailed history, full neurological examination, routine laboratory tests, extracranial vessels assessed by duplex, intracranial vessels assessed by MRA and/or CTA. Results: 61 patients included in the study (38 males and 23 females), with mean age (64.5 ± 11.4). Extracranial stenosis was (57 patients, 93.4%), while intracranial stenosis was (49 patients, 80.3%). But the intracranial significant stenosis was (45 patients, 73.77%), while the extracranial significant stenosis (26 patients, 42.62%). Hypertension (72.1%), obesity (62.3%), diabetes (57.4%), dyslipidemia (54.1%) and smoking (39.3%), were risk factors equally affecting the extracranial and the intracranial systems in the same descending order. There was a higher prevalence of hypertension among patients with intracranial significant stenosis showing a significant P-value of 0.048. Conclusion: Extracranial stenosis was more common than the intracranial stenosis, but the intracranial significant stenosis is more prevalent than the extracranial. Hypertension is a significant risk factor for intracranial significant stenosisOsama HashemZakaria ObaidHeshm Abd AlsameeFatma YoussefAl-Azhar University, Faculty of Medicine (Damietta)articlepsoriasisclusterinpsoriasis area severity indexkeratinocyteapolipoprotein jMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 1, Pp 152-156 (2020)
institution DOAJ
collection DOAJ
language EN
topic psoriasis
clusterin
psoriasis area severity index
keratinocyte
apolipoprotein j
Medicine (General)
R5-920
spellingShingle psoriasis
clusterin
psoriasis area severity index
keratinocyte
apolipoprotein j
Medicine (General)
R5-920
Osama Hashem
Zakaria Obaid
Heshm Abd Alsamee
Fatma Youssef
Clusterin and Psoriasis; What is the Relation?
description Background: Atherosclerotic infarction accounts for a sizable proportion of cerebral infarcts whether occurs from extracranial or intracranial atherosclerotic disease. Despite recent studies on stroke risk factors; it is still unclear whether or not single risk factor specifically affect extracranial or intracranial arteries in stroke patients. Aim of the work: To determine the difference between intracranial and extracranial steno-occlusive atherosclerosis and its correlation with risk factors of acute ischemic stroke using Magnetic Resonance Angiogram (MRA) and/or Computed Tomography Angiography (CTA) with Duplex. Patients and methods: All cases diagnosed as acute ischemic stroke were subjected to detailed history, full neurological examination, routine laboratory tests, extracranial vessels assessed by duplex, intracranial vessels assessed by MRA and/or CTA. Results: 61 patients included in the study (38 males and 23 females), with mean age (64.5 ± 11.4). Extracranial stenosis was (57 patients, 93.4%), while intracranial stenosis was (49 patients, 80.3%). But the intracranial significant stenosis was (45 patients, 73.77%), while the extracranial significant stenosis (26 patients, 42.62%). Hypertension (72.1%), obesity (62.3%), diabetes (57.4%), dyslipidemia (54.1%) and smoking (39.3%), were risk factors equally affecting the extracranial and the intracranial systems in the same descending order. There was a higher prevalence of hypertension among patients with intracranial significant stenosis showing a significant P-value of 0.048. Conclusion: Extracranial stenosis was more common than the intracranial stenosis, but the intracranial significant stenosis is more prevalent than the extracranial. Hypertension is a significant risk factor for intracranial significant stenosis
format article
author Osama Hashem
Zakaria Obaid
Heshm Abd Alsamee
Fatma Youssef
author_facet Osama Hashem
Zakaria Obaid
Heshm Abd Alsamee
Fatma Youssef
author_sort Osama Hashem
title Clusterin and Psoriasis; What is the Relation?
title_short Clusterin and Psoriasis; What is the Relation?
title_full Clusterin and Psoriasis; What is the Relation?
title_fullStr Clusterin and Psoriasis; What is the Relation?
title_full_unstemmed Clusterin and Psoriasis; What is the Relation?
title_sort clusterin and psoriasis; what is the relation?
publisher Al-Azhar University, Faculty of Medicine (Damietta)
publishDate 2020
url https://doaj.org/article/c92b7413f2544e8aab509cf802663d40
work_keys_str_mv AT osamahashem clusterinandpsoriasiswhatistherelation
AT zakariaobaid clusterinandpsoriasiswhatistherelation
AT heshmabdalsamee clusterinandpsoriasiswhatistherelation
AT fatmayoussef clusterinandpsoriasiswhatistherelation
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