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Updated: Jul 9, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
[Psoriasis and the microbiome]
1Klinik für Dermatologie, UKSH Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Deutschland. mareike.witte@uksh.de.
Background:
Psoriasis is a frequent chronic inflammatory systemic disease. It is associated with changes in the microbiome, which may trigger psoriasis and influence the course of the disease.
Objective:
Current methods for detection and the potential role of the microbiome in the pathogenesis of psoriasis are described.
Material And Methods:
A literature search was conducted using the databases Medline and PubMed as well as a general internet and book research.
Results:
Both skin and gut microbiota are involved in the immunopathogenesis and may substantially modulate psoriasis. Antimicrobial peptides may serve as a link between the microbiome and the immunological mechanisms in psoriasis by regulating the microbiome at interfaces and can trigger psoriasis as antigens. Recent innovative methods, such as 16S rRNA next-generation sequencing significantly facilitate microbiome analysis.
Conclusion:
The analysis of the microbiome in patients with psoriasis before, during and after treatment provides a basis for the identification of potential biomarkers for predicting individual treatment responses and facilitating the decision for a certain treatment.
Insights
Changes in the skin and gut microbiome are linked to psoriasis development and progression. Analyzing the microbiome may help predict treatment responses in psoriasis patients.
Area of Science:
- Dermatology
- Immunology
- Microbiome research
Background:
- Psoriasis is a common chronic inflammatory disease with systemic effects.
- Alterations in the microbiome are implicated in psoriasis onset and disease course.
Purpose of the Study:
- To describe current methods for detecting microbiome changes.
- To explore the role of the microbiome in psoriasis pathogenesis.
Main Methods:
- Conducted a literature search using Medline and PubMed.
- Included general internet and book research.
Main Results:
- Both skin and gut microbiota influence psoriasis immunopathogenesis.
- Antimicrobial peptides link microbiome and immune mechanisms in psoriasis.
- 16S rRNA next-generation sequencing advances microbiome analysis.
Conclusions:
- Microbiome analysis in psoriasis patients can identify biomarkers.
- Biomarkers may predict individual treatment responses.
- Microbiome data can guide treatment decisions for psoriasis.
Related Concept Videos
Introduction to the Human Microbiota
The Skin Microbiota
Microbiome of the Eye
The Oral Microbiota
Functions of the Gut Microbiota
Dysbiosis of the Gut Microbiota

