title: [An atypical presentation of atherosclerosis in psoriasis: "Porcelain aorta"].
abstract: BACKGROUND
  Several recent epidemiological studies have shown an increase in cardiovascular morbidity and mortality in patients with psoriasis; such increase is greater in the event of severe and early psoriasis.
  
  
  METHODS
  We report the case of a 42-year-old patient with severe skin psoriasis ongoing since childhood and presenting with porcelain aorta, a little-known sign of atherosclerosis. This is the first publication reporting this association.
  
  
  CONCLUSIONS
  Porcelain aorta results from atherosclerotic calcification of the aortic arch. For long asymptomatic, it can manifest itself in various complications. This observation highlights the importance of cardiovascular risk assessment and of screening for complications thereof in patients presenting psoriasis.
authors.affiliation: Inserm CRO2, UMR 911, centre de recherche en oncologie biologique et oncopharmacologie, département de dermatologie, hôpital de la Timone, AP-HM, Aix-Marseille université, 13385 Marseille, France. Electronic address: quentin.magis@ap-hm.fr.
authors.forename: Q
authors.initials: Q
authors.lastname: Magis
authors.affiliation: Inserm CRO2, UMR 911, centre de recherche en oncologie biologique et oncopharmacologie, département de dermatologie, hôpital de la Timone, AP-HM, Aix-Marseille université, 13385 Marseille, France.
authors.forename: F
authors.initials: F
authors.lastname: Carsuzaa
authors.affiliation: Département d'imagerie médicale, hôpital de la Timone, AP-HM, Aix-Marseille université, 13385 Marseille, France.
authors.forename: A
authors.initials: A
authors.lastname: Flavian
authors.affiliation: Département de médecine interne, hôpital de la Timone, AP-HM, Aix-Marseille université, 13385 Marseille, France.
authors.forename: A
authors.initials: A
authors.lastname: Darmon
authors.affiliation: Inserm CRO2, UMR 911, centre de recherche en oncologie biologique et oncopharmacologie, département de dermatologie, hôpital de la Timone, AP-HM, Aix-Marseille université, 13385 Marseille, France.
authors.forename: J-J
authors.initials: JJ
authors.lastname: Grob
authors.affiliation: Inserm CRO2, UMR 911, centre de recherche en oncologie biologique et oncopharmacologie, département de dermatologie, hôpital de la Timone, AP-HM, Aix-Marseille université, 13385 Marseille, France.
authors.forename: M-A
authors.initials: MA
authors.lastname: Richard
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology*; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000473:pathology; D001027:Aortography; D050197:Atherosclerosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000473:pathology; D002114:Calcinosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D015897:Comorbidity; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000601:surgery; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D017379:Hypertrophy, Left Ventricular / Q000150:complications; D008297:Male; D009765:Obesity / Q000150:complications; D010641:Phenotype; D011565:Psoriasis / Q000150:complications* / Q000188:drug therapy / Q000453:epidemiology; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000188:drug therapy; D012907:Smoking
keywords: Aorte porcelaine; Atherosclerosis; Athérome; Cardiovascular risk; Porcelain aorta; Psoriasis; Risque cardiovasculaire