{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T01:46:36Z","timestamp":1777513596144,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,12,12]],"date-time":"2021-12-12T00:00:00Z","timestamp":1639267200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Cutan Med Surg"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic plaque psoriasis has been associated with metabolic comorbidities, including non-alcoholic fatty liver disease (NAFLD). A causal relationship between NAFLD and chronic kidney disease (CKD) is debated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess whether NAFLD is associated with impaired renal function in patients with psoriasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A multicenter, retrospective, observational study including 337 patients with moderate-to-severe chronic plaque psoriasis, who had no history of excessive alcohol consumption or other secondary causes of chronic liver and renal diseases was conducted. NAFLD was diagnosed by ultrasonography, and CKD stage \u22652 or stage \u22653 were defined by an estimated glomerular filtration rate (e-GFR) of &lt;90 ml min\n                      <jats:sup>-1<\/jats:sup>\n                      1.73 m\n                      <jats:sup>-2<\/jats:sup>\n                      or &lt;60 ml min\n                      <jats:sup>-1<\/jats:sup>\n                      1.73 m\n                      <jats:sup>-2<\/jats:sup>\n                      , respectively. Logistic and linear regression analyses were undertaken to assess the independent association of NAFLD with CKD or eGFR levels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients with NAFLD ( n = 212, 62.9% of total) had significantly lower e-GFR levels (83.4 \u00b1 18.0 vs. 93.5 \u00b1 15.8 ml min\n                      <jats:sup>-1<\/jats:sup>\n                      1.73 m\n                      <jats:sup>-2<\/jats:sup>\n                      , P&lt;.001) and a remarkably higher prevalence of both CKD stage \u22652 (56.1% vs. 30.4%, P&lt;.0001) and CKD stage \u22653 (10.4% vs. 3.2%, P&lt;.0001) compared with their counterparts without NAFLD. Multivariable logistic regression analysis showed that NAFLD was associated with a nearly 2.5-fold increased risk of prevalent CKD stage \u22652 (adjusted-odds ratio= 2.60 95% confidence intervals 1.4\u20134.8, P=.02), independently of components of metabolic syndrome, psoriasis severity, and psoriatic arthritis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Ultrasound-diagnosed NAFLD is strongly associated with a reduced eGFR in patients with moderate-to-severe psoriasis, independently of cardiometabolic risk factors and psoriasis-related variables.<\/jats:p>\n                  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