Got Psoriasis? Watch Out For Crohns…++

The link between psoriasis and Crohns just got a little stronger.  I’ve blogged recently about how a study linked psoriasis with a greater incidence of inflamed bowel disease (IBD), and in that same blog linked to even earlier times that I postured about the relationship.

This week I read that another study has just been completed examining the medical records of over 25,000 patients, which concluded:

According to researchers, patients with just psoriasis or psoriasis with psoriatic arthritis had 1.6-fold increased risk for at least one additional autoimmune disease and a 1.9-fold increased risk for at least two autoimmune disorders.

Specifically, they identified 14 specific autoimmune diseases which psoriasis suffers are more prone to get.  Naturally, included on this list is Crohns, however they stated there were 3 “biggies” out of the 14:

The three diseases that were most associated with psoriasis were rheumatoid arthritis, alopecia areata (spot baldness), celiac disease and systemic sclerosis. Systemic sclerosis affects connective tissue and could cause scarring, skin thickening, joint pain and sores on fingers or toes. Rheumatoid arthritis had the strongest association among the 14 diseases.

Hmmmm.  This part got me a little confused.  They state that “3 diseases” are most associated with psoriasis, and then continue to list 4 diseases!  I hope that they just counted wrong and that the rest of the study is accurate!  Wikipedia states that the symptoms of celiac disease include chronic diarrhoea, failure to thrive (in children), and fatigue.  I’ve certainly suffered often from diarrhoea and had put that down to Crohns, however perhaps it is celiac disease?  It would be interesting to see what the difference is between the two.

My bowel has been pretty good for the last week and my fingers are crossed it will continue.

Finally for a bit of light humor, as you know I am living in Thailand and corruption is quite ingrained in the culture here.  A lot of Westerners struggle to understand how corruption could thrive and will often say something like “why don’t you just go to the police if someone tries to bribe their way out of a situation”.  The problem here is the assumption that the police are trustworthy.  In corrupt countries the majority of police are not – which is why the corruption continues.  This week there was a hilarious example of this, and you can read it here.  A policeman got arrested for robbing someone.  The amazing thing is that the victim actually found a policeman who agreed to arrest another policeman.  I’m sure there was some corruption involved though to get the arrest made!

As a friend once said to me, who do you go to if you get robbed by the police!


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