Bali Dermatology and Venereology Journal
Vol. 2 No. 1 (2019)

Positive correlation of psoriasis vulgaris severity and HOMA-IR

Made Wardhana (Dermatology and Venereology Departement, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital Denpasar, Bali, Indonesia)
Made Swastika Adiguna (Dermatology and Venereology Departement, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital Denpasar, Bali, Indonesia)
Putu Ayu Diah Nareswari (Dermatology and Venereology Departement, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital Denpasar, Bali, Indonesia Biomedical Master Science Study Program, Faculty of Medicine, Universitas Udayana)



Article Info

Publish Date
01 Aug 2019

Abstract

Background: Psoriasis vulgaris is a chronic inflammatory skin disease that its aetiology is still not completely known. A chronic inflammation in psoriasis can cause organ dysfunctions. Elevation of proinflammatory cytokines gives rise to insulin resistance by inhibiting insulin and glucose transport mechanism signals. Insulin resistance is the underlying pathogenesis of metabolic syndrome.Objective: This study aimed to undestand any correlation in the severity of psoriasis vulgaris with HOMA-IR.Methods: A cross sectional research involving 35 subjects with psoriasis vulgaris and 15 subjects without who met the selection criteria. HOMA-IR is a formula used to measure insulin resistance which calculates the fasting insulin value in μU/ml x fasting glucose in mg/DL/405 taken from the blood veins of subjects. PASI score was used to determine psoriasis vulgaris severity.Results: This study shows that the HOMA-IR median value was higher in psoriasis subject than the subjects without psoriasis (p<0.05). The correlaton analysis shows a moderate positive correlation between psoriasis vulgaris severity and HOMA-IR (r= 0.427; p<0.05). The prevalence ratio was 8.57, which means psoriasis vulgaris subjects were 8.57 times more likely to have HOMA-IR compared to those without psoriasis vulgaris (p<0.05; 95%CI: 1.26-58.1).Conclusion: This study concludes that there is a moderate positive correlation between severity of psoriasis vulgaris and HOMA-IR values.

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Journal Info

Abbrev

bdv

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology

Description

Bali Journal of dermatology and venereology is published by Department of dermatology and venereology, Udayana University, Bali, Indonesia. Bali Journal of dermatology and venereology is an open access, peer reviewed journal aiming to communicate high quality research articles, reviews and general ...