Anesthetic Considerations in a Patient with Psoriasis Undergoing CABG Surgery

Psoriasis is a systemic inflammatory skin disease affecting up to 3% of the population. Skin lesions are symmetric erythematous papules and plaques with sharp demarcation covered with silvery white scales in scalp, elbows, knees, fingers and sacral areas. Metabolic diseases such as obesity and diabetes are more common in psoriatic patients. Strong evidence suggests T lymphocyte based immunogenesis and an increased amount of proinflammatory cytokines including IL-1, IL-6, IL-8 and TNF- alpha were detected in psoriatic plaques. We report a 51-year-old male patient with a history of psoriasis for 30 years scheduled for coronary artery bypass grafting surgery and discuss the anesthetic implications in such patients.

کلیدواژه ها:

Psoriasis ، Anesthesia ، CABG ، T cell