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Research ArticleOriginal Article
Open Access

Prevalence of hyperlipidemia in psoriatic arthritis patients in Riyadh, Saudi Arabia

Khalid AlTalhi, Sara Otaywi, Mohammed Alotaibi, Hanan A. Alhamzi, Seham Alrashedi, Mosaab Makkawy and Fahdah Alokaily
Saudi Medical Journal December 2024, 45 (12) 1340-1346; DOI: https://doi.org/10.15537/smj.2024.45.12.20240817
Khalid AlTalhi
From the Internal Medicine and Rheumatology Department (AlTalhi), King Abdulaziz Specialist Hospital, Taif; from the Rheumatology Department, Prince Mohammed bin Abdulaziz Hospital (Otaywi, Alhamzi, Makkawy); from the Internal Medicine And Rheumatology Department (Alrashedi, Alokaily), Prince Sultan Military Medical City, Riyadh; from the Internal Medicine (Alotaibi), Shaqra University, Shaqra, Kingdom of Saudi Arabia.
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Sara Otaywi
From the Internal Medicine and Rheumatology Department (AlTalhi), King Abdulaziz Specialist Hospital, Taif; from the Rheumatology Department, Prince Mohammed bin Abdulaziz Hospital (Otaywi, Alhamzi, Makkawy); from the Internal Medicine And Rheumatology Department (Alrashedi, Alokaily), Prince Sultan Military Medical City, Riyadh; from the Internal Medicine (Alotaibi), Shaqra University, Shaqra, Kingdom of Saudi Arabia.
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Mohammed Alotaibi
From the Internal Medicine and Rheumatology Department (AlTalhi), King Abdulaziz Specialist Hospital, Taif; from the Rheumatology Department, Prince Mohammed bin Abdulaziz Hospital (Otaywi, Alhamzi, Makkawy); from the Internal Medicine And Rheumatology Department (Alrashedi, Alokaily), Prince Sultan Military Medical City, Riyadh; from the Internal Medicine (Alotaibi), Shaqra University, Shaqra, Kingdom of Saudi Arabia.
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Hanan A. Alhamzi
From the Internal Medicine and Rheumatology Department (AlTalhi), King Abdulaziz Specialist Hospital, Taif; from the Rheumatology Department, Prince Mohammed bin Abdulaziz Hospital (Otaywi, Alhamzi, Makkawy); from the Internal Medicine And Rheumatology Department (Alrashedi, Alokaily), Prince Sultan Military Medical City, Riyadh; from the Internal Medicine (Alotaibi), Shaqra University, Shaqra, Kingdom of Saudi Arabia.
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Seham Alrashedi
From the Internal Medicine and Rheumatology Department (AlTalhi), King Abdulaziz Specialist Hospital, Taif; from the Rheumatology Department, Prince Mohammed bin Abdulaziz Hospital (Otaywi, Alhamzi, Makkawy); from the Internal Medicine And Rheumatology Department (Alrashedi, Alokaily), Prince Sultan Military Medical City, Riyadh; from the Internal Medicine (Alotaibi), Shaqra University, Shaqra, Kingdom of Saudi Arabia.
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Mosaab Makkawy
From the Internal Medicine and Rheumatology Department (AlTalhi), King Abdulaziz Specialist Hospital, Taif; from the Rheumatology Department, Prince Mohammed bin Abdulaziz Hospital (Otaywi, Alhamzi, Makkawy); from the Internal Medicine And Rheumatology Department (Alrashedi, Alokaily), Prince Sultan Military Medical City, Riyadh; from the Internal Medicine (Alotaibi), Shaqra University, Shaqra, Kingdom of Saudi Arabia.
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Fahdah Alokaily
From the Internal Medicine and Rheumatology Department (AlTalhi), King Abdulaziz Specialist Hospital, Taif; from the Rheumatology Department, Prince Mohammed bin Abdulaziz Hospital (Otaywi, Alhamzi, Makkawy); from the Internal Medicine And Rheumatology Department (Alrashedi, Alokaily), Prince Sultan Military Medical City, Riyadh; from the Internal Medicine (Alotaibi), Shaqra University, Shaqra, Kingdom of Saudi Arabia.
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  • ORCID record for Fahdah Alokaily
  • For correspondence: [email protected]
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Article Figures & Data

Tables

    • View popup
    Table 1

    - Baseline hyperlipidemia status among PsA patients in relation to medical comorbidities.

    VariablesHyperlipidemia at the first visitP-value
    YesNo
    Age groups at the first visit (n=101)
    <30 Years old4 (23.5%)13 (76.5%)0.055
    30-60 Years old41 (47.1%)46 (52.9%)
    >60 Years old3 (21.4%)11 (78.6%)
    Gender (n=101)
    Male28 (56%)22 (44%)0.005
    Female20 (29.4%)48 (70.6%)
    Diabetes mellitus (n=101)
    Yes19 (61.3%)12 (38.7%)0.010
    No29 (33.3%)58 (66.7%)
    Hypertension (n=101)
    Yes20 (57.1%)15 (42.9%)0.024
    No28 (33.7%)55 (66.3%)
    Ischemic heart diseases (n=101)
    Yes3 (42.9%)4 (57.1%)1.000
    No45 (40.5%)66 (59.5%)
    Other comorbidities (n=102)
    Yes22 (42.3%)30 (57.7%)0.851
    No26 (39.4%)40 (60.6%)
    Smoking status (n=99)
    Yes3 (75%)1 (25%)0.305
    No45 (40.2%)67 (59.8%)
    Statin use
    Yes31 (62%)19 (38%)<0.001
    No17 (25%)51 (75%)
    • View popup
    Table 2

    - Patients lipid profile results on the last visits.

    VariablesFirst visitLast visitP-value
    NormalHighNormalHigh
    Cholesterol115 (84.6%)21 (15.4%)97 (89.8%)11 (10.2%)0.167
    Low-density lipoprotein105 (82.7%)22 (17.3%)97 (92.4%)8 (7.6%)0.004
    High-density lipoprotein103 (81.1%)24 (18.9%)90 (84.1%)17 (15.9%)0.332
    Triglycerides114 (87.0%)17 (13.0%)94 (88.7%)12 (11.3%)1.00
    • View popup
    Table 3

    - Classes and duration of bDMARDs and cDMARDs taken by the patients (N=141).

    Variablesn%
    bDMARDs drug class (first drug) (n=100)
    Anti-TNF8787.0%
    IL1788.0%
    IL2322.0%
    IL12 and IL 2311.0%
    Targeted synthetic DMARDs22.0%
    Duration of use of bDMARDs (first drug) (n=91)
    <1 Year1112.1%
    1-5 Years6369.2%
    >5 Years1718.7%
    bDMARDs class (second drug) (n=55)
    Anti-TNF1832.7%
    IL172647.3%
    IL23712.7%
    Targeted synthetic DMARDs47.3%
    Duration of use of bDMARDs (second drug (n=51)
    <1 Year1325.5%
    1-5 Years3568.6%
    >5 Years35.9%
    bDMARDs class (third drug) (n=24)
    Anti-TNF520.8%
    IL17833.3%
    IL23520.8%
    IL12 and IL 2328.3%
    Targeted synthetic DMARDs416.7%
    Duration of use of bDMARDs (third drug) (n=21)
    <1 Year942.9%
    1-5 Years1257.1%
    >5 Years00%
    cDMARDs (N=141)
    None5539.0%
    Methotrexate8258.2%
    Hydroxychloroquine10.7%
    Sulphasalazine32.1%
    Duration of cDMARDs use (n=81)
    <1 Year44.9%
    1-5 Years5264.2%
    >5 Years2530.9%

    TNF: tumor necrosis factor, IL: interleukin, b: biologic, c: conventional, DMARDs: Disease-modifying antirheumatic drugs

      • View popup
      Table 4

      - Comparison of hyperlipidemia at the last visit according to the type of medication used bDMARDs or cDMARDs.

      Variables Hyperlipidemia at the last visitP-value
      YesNo
      Use of a bDMARDs (n=101)Yes (%)24 (31.6%)52 (68.4%)0.317
      No (%)5 (20%)20 (80%)
      Patient used more than one bDMARDs (n=76)Yes (%)12 (27.9%)31 (72.1%)0.464
      No (%)12 (36.4%)21 (63.6%)
      Disease-modifying antirheumatic drugs (cDMARDs) (n=101)Yes (%)21 (30%)49 (70%)0.813
      No (%)8 (25.8%)23 (74.2%)
      Patient used a bDMARDs and cDMARDs (n=94)Yes (%)16 (30.8%)36 (69.2%)1.000
      No (%)13 (31%)29 (69%)

      b: biologic, c: conventional, DMARDs: disease-modifying antirheumatic drugs

        • View popup
        Table 5

        - Prevalence of hyperlipidemia in patients with and without comorbidity at first and last visits.

        VariablesComorbidityNo comorbidity
        Hyperlipidemia at first visit
        Yes35 (47.3%)13 (29.5%)
        No39 (52.7%)31 (70.5%)
        Hyperlipidemia at last visit
        Yes18 (25.7%)11 (35.5%)
        No52 (77.3)20 (64.5%)
        P-value<0.0011.000
        • View popup
        Table 6

        - Indirect comparison of prevalence of hyperlipidemia among patients with PsA and general population.

        VariablesPsAGeneral population
        Total cholesterol15.4%23.3%
        Triglycerides13%22.7%
        Low-density lipoprotein17.3%-
        Low high-density lipoprotein18.3%-

        PsA: psoriatic arthritis

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        1 Dec 2024
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        Prevalence of hyperlipidemia in psoriatic arthritis patients in Riyadh, Saudi Arabia
        Khalid AlTalhi, Sara Otaywi, Mohammed Alotaibi, Hanan A. Alhamzi, Seham Alrashedi, Mosaab Makkawy, Fahdah Alokaily
        Saudi Medical Journal Dec 2024, 45 (12) 1340-1346; DOI: 10.15537/smj.2024.45.12.20240817

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        Prevalence of hyperlipidemia in psoriatic arthritis patients in Riyadh, Saudi Arabia
        Khalid AlTalhi, Sara Otaywi, Mohammed Alotaibi, Hanan A. Alhamzi, Seham Alrashedi, Mosaab Makkawy, Fahdah Alokaily
        Saudi Medical Journal Dec 2024, 45 (12) 1340-1346; DOI: 10.15537/smj.2024.45.12.20240817
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        Keywords

        • lipid profile
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        • retrospective study
        • Riyadh
        • Saudi Arabia

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