Evidence map›Paper›PMID 40569171›Full record

ArticleRheumatology (Oxford, England)2025

High prevalence of MASLD in psoriasis and psoriatic arthritis assessed with multiparametric magnetic resonance imaging.

Lija James, Charlie Diamond, Hussein Al-Mossawi, Anneli Andersson, Prashant Pandya, Elizabeth Shumbayawonda, Leila Izadi Firouzabadi, Lily Watson, Laura J Savage, Helena Thomaides-Brears and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Lija JamesNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0003-3574-1565
Charlie DiamondPerspectum Ltd, Oxford, UK.ORCID 0000-0002-3565-3648
Hussein Al-MossawiNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-2312-3754
Anneli AnderssonPerspectum Ltd, Oxford, UK.ORCID 0000-0001-7881-4205
Prashant PandyaPerspectum Ltd, Oxford, UK.
Elizabeth ShumbayawondaPerspectum Ltd, Oxford, UK.ORCID 0000-0003-0351-2063
Leila Izadi FirouzabadiDermatology Department, Churchill Hospital, Oxford University Hospitals NHS Trust, Oxford, UK.ORCID 0000-0001-5385-6273
Lily WatsonUniversity of Oxford, Oxford, UK.ORCID 0009-0008-5736-0679
Laura J SavageLeeds Centre for Dermatology, Chapel Allerton Hospital Department of Dermatology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.ORCID 0000-0002-8283-6519
Helena Thomaides-BrearsPerspectum Ltd, Oxford, UK.ORCID 0000-0003-0774-6983
Rajarshi BanerjeePerspectum Ltd, Oxford, UK.ORCID 0000-0003-2022-5218
Laura C CoatesNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-4756-663X

Funding

Department of Health and Social CareNational Institute for Health and Care ResearchNational Institute for Health Research Clinical Research NetworkNational Psoriasis Foundation 815158NIHROxford Biomedical Research CentreUCB Biopharma SRL
6 · The paper itself

Abstract

objectivesPsoriatic disease (PsD) is a chronic inflammatory condition associated with obesity, metabolic dysfunction-associated steatotic liver disease (MASLD) and steatohepatitis (MASH). We aimed to determine the prevalence of MASLD/MASH in a real-world psoriatic cohort using advanced imaging.

methodsCOLIPSO is a multicentre, prospective study of adults with PsD receiving standard systemic therapy in secondary care. Fifty participants underwent clinical assessments and non-invasive tests of liver health, including MRI-biomarkers of liver fibro-inflammation and fat content. These were compared with 360 individuals with PsD, with 150 controls without PsD (matched for age, sex, BMI and comorbidities) and 150 healthy controls from the UK Biobank and COVERSCAN studies. Associations were investigated with Spearman's rank correlations and multivariate linear regression models.

resultsThe prevalence of steatotic liver disease was 44% in the PsD group (aged 48 years, 58% male, BMI 29 kg/m2) and higher than in matched controls (25%, P = 0.02). MASH was prevalent in 22% of PsD patients (vs 3% in matched controls, P < 0.001). Thirteen of the 24 (54%) individuals with PsD and liver disease had normal liver function blood tests. No significant difference in levels of liver disease was observed between those with or without prior exposure to methotrexate.

conclusionsIndividuals with PsD exhibit higher prevalence of MASLD and MASH that was missed by blood tests and was present even in individuals with no methotrexate exposure. These findings underscore the importance of routine MASLD screening in this population with more sensitive tools, such as multi parametric MRI.

Indexed as

Arthritis, PsoriaticFatty LiverMultiparametric Magnetic Resonance ImagingPsoriasisAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedPrevalenceProspective StudiesUnited KingdomcT1MASHMASLDmethotrexateMRIpsoriasispsoriatic arthritis

Identifiers

PMID40569171
PMCPMC12596067

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.