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Related Experiment Video

Updated: Feb 2, 2026

Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients
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Psoriasis: Psychosomatic, somatopsychic, or both?

Chase W Kwon1, Richard G Fried2, Yasmine Nousari3

  • 1Department of Dermatology, University of Rochester Medical Center, Rochester, New York, USA.

Clinics in Dermatology
|November 18, 2018
PubMed
Summary
This summary is machine-generated.

Stress significantly impacts psoriasis development and flares. Targeting stress pathways offers new therapeutic avenues for managing this chronic inflammatory skin condition.

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Area of Science:

  • Dermatology
  • Psychoneuroimmunology
  • Inflammation Research

Background:

  • Psoriasis is a chronic inflammatory skin disease with significant psychiatric links.
  • Psychosocial distress is increasingly recognized as a trigger for psoriasis flares.
  • The stress response may directly influence psoriasis pathogenesis.

Purpose of the Study:

  • To review the evidence linking stress and psoriasis.
  • To explore the neuro-immunological mechanisms involved in stress-induced psoriasis flares.
  • To discuss novel therapeutic strategies targeting the stress response in psoriasis management.

Main Methods:

  • Review of experimental studies and clinical observations.
  • Analysis of research on neuromodulators and their role in neurogenic inflammation.
  • Examination of preliminary human trials and animal studies on stress interventions.

Main Results:

  • High-quality data confirm stress's critical role in psoriasis pathogenesis.
  • Some patients may have impaired cortisol response to stress, worsening psoriasis.
  • Neuromodulators like substance P and NGF are implicated in stress-mediated psoriasis flares.

Conclusions:

  • Stress response pathways are key targets for novel psoriasis therapies.
  • Psychosocial interventions and neuropeptide targeting show therapeutic promise.
  • Understanding the neuro-immune axis is crucial for effective psoriasis management.