Xanthelasma palpebrarum: a marker of premature atherosclerosis (risk of atherosclerosis in xanthelasma)
PurposeTo evaluate the association between xanthelasma palpebrarum (XP) and atherosclerosis by the measurement of carotid intima media thickness (CIMT). In addition, the concurrent association between metabolic syndrome, dyslipidaemia and dyslipoproteinaemia was also assessed.Study designA cross-sec...
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| Veröffentlicht in: | Postgraduate medical journal 2012-04, Vol.88 (1038), p.198-204 |
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| creator | Pandhi, Deepika Gupta, Pooja Singal, Archana Tondon, Anupama Sharma, SumanBala Madhu, S V |
| description | PurposeTo evaluate the association between xanthelasma palpebrarum (XP) and atherosclerosis by the measurement of carotid intima media thickness (CIMT). In addition, the concurrent association between metabolic syndrome, dyslipidaemia and dyslipoproteinaemia was also assessed.Study designA cross-sectional study was conducted from January 2008 to April 2009 involving 40 patients of XP and an equal number of age, sex and body mass index matched controls. All study subjects underwent CIMT estimation by ultrasonography and were evaluated for metabolic syndrome (obesity, blood pressure, blood glucose, serum lipid profile), non-alcoholic fatty liver disease, apolipoprotein A1 and apolipoprotein B.ResultsThe mean CIMT was significantly higher in XP patients as compared with controls. However, there was no correlation with the extent or the duration of the XP lesions. Prevalence of metabolic syndrome was similar in both groups while non-alcoholic fatty liver disease was more frequent in XP patients as compared with controls (p=0.001). The mean serum cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol and triglyceride levels were similar in the two groups. However, there was significant increase in the mean pro-atherogenic apolipoprotein B and decrease in the anti-atherogenic apolipoprotein A1 levels in XP patients.ConclusionsAlteration in apolipoprotein levels (A1 and B) in XP patients may predispose to cutaneous and systemic deposition of lipids, including atherosclerosis. Therefore, XP patients irrespective of their lesion size or serum lipid levels should be screened using CIMT for detection of subclinical atherosclerosis. |
| doi_str_mv | 10.1136/postgradmedj-2011-130443 |
| format | Article |
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In addition, the concurrent association between metabolic syndrome, dyslipidaemia and dyslipoproteinaemia was also assessed.Study designA cross-sectional study was conducted from January 2008 to April 2009 involving 40 patients of XP and an equal number of age, sex and body mass index matched controls. All study subjects underwent CIMT estimation by ultrasonography and were evaluated for metabolic syndrome (obesity, blood pressure, blood glucose, serum lipid profile), non-alcoholic fatty liver disease, apolipoprotein A1 and apolipoprotein B.ResultsThe mean CIMT was significantly higher in XP patients as compared with controls. However, there was no correlation with the extent or the duration of the XP lesions. Prevalence of metabolic syndrome was similar in both groups while non-alcoholic fatty liver disease was more frequent in XP patients as compared with controls (p=0.001). The mean serum cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol and triglyceride levels were similar in the two groups. However, there was significant increase in the mean pro-atherogenic apolipoprotein B and decrease in the anti-atherogenic apolipoprotein A1 levels in XP patients.ConclusionsAlteration in apolipoprotein levels (A1 and B) in XP patients may predispose to cutaneous and systemic deposition of lipids, including atherosclerosis. Therefore, XP patients irrespective of their lesion size or serum lipid levels should be screened using CIMT for detection of subclinical atherosclerosis.</description><identifier>ISSN: 0032-5473</identifier><identifier>EISSN: 1469-0756</identifier><identifier>DOI: 10.1136/postgradmedj-2011-130443</identifier><identifier>PMID: 22362903</identifier><language>eng</language><publisher>London: The Fellowship of Postgraduate Medicine</publisher><subject>Abdomen ; Adult ; Aged ; apolipoprotein A ; apolipoprotein B ; Apolipoproteins ; Atherosclerosis ; Atherosclerosis (general aspects, experimental research) ; Atherosclerosis - blood ; Atherosclerosis - diagnosis ; Atherosclerosis - epidemiology ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood pressure ; Body mass index ; Cardiology. Vascular system ; Cardiovascular disease ; Cardiovascular Diseases - blood ; Cardiovascular Diseases - diagnosis ; Cardiovascular Diseases - epidemiology ; Carotid arteries ; carotid atherosclerosis ; Carotid Intima-Media Thickness ; Case-Control Studies ; Cholesterol ; Cholesterol, HDL - blood ; Cholesterol, LDL - blood ; Cross-Sectional Studies ; Eyelids ; Fatty Liver ; Female ; General aspects ; High density lipoprotein ; Humans ; Lipids ; Lipoproteins ; Male ; Medical sciences ; Metabolic disorders ; Metabolic syndrome ; metabolic syndrome X ; Middle Aged ; Non-alcoholic Fatty Liver Disease ; Obesity ; Risk factors ; Xanthelasma palpebrarum ; Xanthomatosis - blood ; Xanthomatosis - diagnosis ; Xanthomatosis - epidemiology ; Young Adult</subject><ispartof>Postgraduate medical journal, 2012-04, Vol.88 (1038), p.198-204</ispartof><rights>2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright: 2012 (c) 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b454t-c4b7a53915e4c5c0e8e48090c07733fc2874afbb6fa7ef3ad1ac081d87e026823</citedby><cites>FETCH-LOGICAL-b454t-c4b7a53915e4c5c0e8e48090c07733fc2874afbb6fa7ef3ad1ac081d87e026823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://pmj.bmj.com/content/88/1038/198.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://pmj.bmj.com/content/88/1038/198.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77600,77631</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25669572$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22362903$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pandhi, Deepika</creatorcontrib><creatorcontrib>Gupta, Pooja</creatorcontrib><creatorcontrib>Singal, Archana</creatorcontrib><creatorcontrib>Tondon, Anupama</creatorcontrib><creatorcontrib>Sharma, SumanBala</creatorcontrib><creatorcontrib>Madhu, S V</creatorcontrib><title>Xanthelasma palpebrarum: a marker of premature atherosclerosis (risk of atherosclerosis in xanthelasma)</title><title>Postgraduate medical journal</title><addtitle>Postgrad Med J</addtitle><description>PurposeTo evaluate the association between xanthelasma palpebrarum (XP) and atherosclerosis by the measurement of carotid intima media thickness (CIMT). In addition, the concurrent association between metabolic syndrome, dyslipidaemia and dyslipoproteinaemia was also assessed.Study designA cross-sectional study was conducted from January 2008 to April 2009 involving 40 patients of XP and an equal number of age, sex and body mass index matched controls. All study subjects underwent CIMT estimation by ultrasonography and were evaluated for metabolic syndrome (obesity, blood pressure, blood glucose, serum lipid profile), non-alcoholic fatty liver disease, apolipoprotein A1 and apolipoprotein B.ResultsThe mean CIMT was significantly higher in XP patients as compared with controls. However, there was no correlation with the extent or the duration of the XP lesions. Prevalence of metabolic syndrome was similar in both groups while non-alcoholic fatty liver disease was more frequent in XP patients as compared with controls (p=0.001). The mean serum cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol and triglyceride levels were similar in the two groups. However, there was significant increase in the mean pro-atherogenic apolipoprotein B and decrease in the anti-atherogenic apolipoprotein A1 levels in XP patients.ConclusionsAlteration in apolipoprotein levels (A1 and B) in XP patients may predispose to cutaneous and systemic deposition of lipids, including atherosclerosis. Therefore, XP patients irrespective of their lesion size or serum lipid levels should be screened using CIMT for detection of subclinical atherosclerosis.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Aged</subject><subject>apolipoprotein A</subject><subject>apolipoprotein B</subject><subject>Apolipoproteins</subject><subject>Atherosclerosis</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Atherosclerosis - blood</subject><subject>Atherosclerosis - diagnosis</subject><subject>Atherosclerosis - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - blood</subject><subject>Cardiovascular Diseases - diagnosis</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Carotid arteries</subject><subject>carotid atherosclerosis</subject><subject>Carotid Intima-Media Thickness</subject><subject>Case-Control Studies</subject><subject>Cholesterol</subject><subject>Cholesterol, HDL - blood</subject><subject>Cholesterol, LDL - blood</subject><subject>Cross-Sectional Studies</subject><subject>Eyelids</subject><subject>Fatty Liver</subject><subject>Female</subject><subject>General aspects</subject><subject>High density lipoprotein</subject><subject>Humans</subject><subject>Lipids</subject><subject>Lipoproteins</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic disorders</subject><subject>Metabolic syndrome</subject><subject>metabolic syndrome X</subject><subject>Middle Aged</subject><subject>Non-alcoholic Fatty Liver Disease</subject><subject>Obesity</subject><subject>Risk factors</subject><subject>Xanthelasma palpebrarum</subject><subject>Xanthomatosis - blood</subject><subject>Xanthomatosis - diagnosis</subject><subject>Xanthomatosis - epidemiology</subject><subject>Young Adult</subject><issn>0032-5473</issn><issn>1469-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkctO3DAUhi1UVIahr1BZqqrSRcB3O-yqUVsqIWDRjhAb68Tj0Ay51U4k-vZ1lOEiVt2cs_i_c_0RwpScUMrVad_F4S7ApvGbbcYIpRnlRAi-hxZUqDwjWqo3aEEIZ5kUmh-gwxi3hFCuBX2LDhjjiuWEL9DdDbTDb19DbAD3UPe-CBDG5gwDbiDc-4C7EvfBNzCMwWNIcOiiq6dYRXwcqng_Ia-FqsUPz60_H6H9Euro3-3yEv369vXn6jy7uPr-Y_XlIiuEFEPmRKFB8pxKL5x0xBsvDMmJI1pzXjpmtICyKFQJ2pccNhQcMXRjtCdMGcaX6NPctw_dn9HHwTZVdL6uofXdGG0ujMkZzXUiP7wit90Y2rScpdpQJalUMlFmplw6KwZf2j5U6TF_LSV28sK-9MJOXtjZi1T6fjdgLJL4VPj4_AR83AEQHdRlgNZV8ZmTSuVSTzdlM1fFwT886ckdqzTX0l6uV3Z9LfjtzVql6UvEZ75otv-_7j-izbcI</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>Pandhi, Deepika</creator><creator>Gupta, Pooja</creator><creator>Singal, Archana</creator><creator>Tondon, Anupama</creator><creator>Sharma, SumanBala</creator><creator>Madhu, S V</creator><general>The Fellowship of Postgraduate Medicine</general><general>BMJ Publishing Group</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120401</creationdate><title>Xanthelasma palpebrarum: a marker of premature atherosclerosis (risk of atherosclerosis in xanthelasma)</title><author>Pandhi, Deepika ; Gupta, Pooja ; Singal, Archana ; Tondon, Anupama ; Sharma, SumanBala ; Madhu, S V</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b454t-c4b7a53915e4c5c0e8e48090c07733fc2874afbb6fa7ef3ad1ac081d87e026823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Aged</topic><topic>apolipoprotein A</topic><topic>apolipoprotein B</topic><topic>Apolipoproteins</topic><topic>Atherosclerosis</topic><topic>Atherosclerosis (general aspects, experimental research)</topic><topic>Atherosclerosis - blood</topic><topic>Atherosclerosis - diagnosis</topic><topic>Atherosclerosis - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - blood</topic><topic>Cardiovascular Diseases - diagnosis</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Carotid arteries</topic><topic>carotid atherosclerosis</topic><topic>Carotid Intima-Media Thickness</topic><topic>Case-Control Studies</topic><topic>Cholesterol</topic><topic>Cholesterol, HDL - blood</topic><topic>Cholesterol, LDL - blood</topic><topic>Cross-Sectional Studies</topic><topic>Eyelids</topic><topic>Fatty Liver</topic><topic>Female</topic><topic>General aspects</topic><topic>High density lipoprotein</topic><topic>Humans</topic><topic>Lipids</topic><topic>Lipoproteins</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic disorders</topic><topic>Metabolic syndrome</topic><topic>metabolic syndrome X</topic><topic>Middle Aged</topic><topic>Non-alcoholic Fatty Liver Disease</topic><topic>Obesity</topic><topic>Risk factors</topic><topic>Xanthelasma palpebrarum</topic><topic>Xanthomatosis - blood</topic><topic>Xanthomatosis - diagnosis</topic><topic>Xanthomatosis - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pandhi, Deepika</creatorcontrib><creatorcontrib>Gupta, Pooja</creatorcontrib><creatorcontrib>Singal, Archana</creatorcontrib><creatorcontrib>Tondon, Anupama</creatorcontrib><creatorcontrib>Sharma, SumanBala</creatorcontrib><creatorcontrib>Madhu, S V</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Postgraduate medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pandhi, Deepika</au><au>Gupta, Pooja</au><au>Singal, Archana</au><au>Tondon, Anupama</au><au>Sharma, SumanBala</au><au>Madhu, S V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Xanthelasma palpebrarum: a marker of premature atherosclerosis (risk of atherosclerosis in xanthelasma)</atitle><jtitle>Postgraduate medical journal</jtitle><addtitle>Postgrad Med J</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>88</volume><issue>1038</issue><spage>198</spage><epage>204</epage><pages>198-204</pages><issn>0032-5473</issn><eissn>1469-0756</eissn><abstract>PurposeTo evaluate the association between xanthelasma palpebrarum (XP) and atherosclerosis by the measurement of carotid intima media thickness (CIMT). In addition, the concurrent association between metabolic syndrome, dyslipidaemia and dyslipoproteinaemia was also assessed.Study designA cross-sectional study was conducted from January 2008 to April 2009 involving 40 patients of XP and an equal number of age, sex and body mass index matched controls. All study subjects underwent CIMT estimation by ultrasonography and were evaluated for metabolic syndrome (obesity, blood pressure, blood glucose, serum lipid profile), non-alcoholic fatty liver disease, apolipoprotein A1 and apolipoprotein B.ResultsThe mean CIMT was significantly higher in XP patients as compared with controls. However, there was no correlation with the extent or the duration of the XP lesions. Prevalence of metabolic syndrome was similar in both groups while non-alcoholic fatty liver disease was more frequent in XP patients as compared with controls (p=0.001). The mean serum cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol and triglyceride levels were similar in the two groups. However, there was significant increase in the mean pro-atherogenic apolipoprotein B and decrease in the anti-atherogenic apolipoprotein A1 levels in XP patients.ConclusionsAlteration in apolipoprotein levels (A1 and B) in XP patients may predispose to cutaneous and systemic deposition of lipids, including atherosclerosis. Therefore, XP patients irrespective of their lesion size or serum lipid levels should be screened using CIMT for detection of subclinical atherosclerosis.</abstract><cop>London</cop><pub>The Fellowship of Postgraduate Medicine</pub><pmid>22362903</pmid><doi>10.1136/postgradmedj-2011-130443</doi><tpages>7</tpages></addata></record> |
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| subjects | Abdomen Adult Aged apolipoprotein A apolipoprotein B Apolipoproteins Atherosclerosis Atherosclerosis (general aspects, experimental research) Atherosclerosis - blood Atherosclerosis - diagnosis Atherosclerosis - epidemiology Biological and medical sciences Blood and lymphatic vessels Blood pressure Body mass index Cardiology. Vascular system Cardiovascular disease Cardiovascular Diseases - blood Cardiovascular Diseases - diagnosis Cardiovascular Diseases - epidemiology Carotid arteries carotid atherosclerosis Carotid Intima-Media Thickness Case-Control Studies Cholesterol Cholesterol, HDL - blood Cholesterol, LDL - blood Cross-Sectional Studies Eyelids Fatty Liver Female General aspects High density lipoprotein Humans Lipids Lipoproteins Male Medical sciences Metabolic disorders Metabolic syndrome metabolic syndrome X Middle Aged Non-alcoholic Fatty Liver Disease Obesity Risk factors Xanthelasma palpebrarum Xanthomatosis - blood Xanthomatosis - diagnosis Xanthomatosis - epidemiology Young Adult |
| title | Xanthelasma palpebrarum: a marker of premature atherosclerosis (risk of atherosclerosis in xanthelasma) |
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