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Psoriasis: Embarking a dynamic shift in the skin microbiota.

Mrinal Gupta1, Jeffrey M Weinberg2, Paul S Yamauchi3,4

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Journal of Cosmetic Dermatology
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The skin and gut microbiome composition is altered in psoriasis patients, potentially contributing to disease development. Further research explores the pathogenic mechanisms linking microbiota to psoriasis exacerbation.

Keywords:
microbiomemicrobiotapsoriasis

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Area of Science:

  • Dermatology
  • Microbiology
  • Immunology

Background:

  • Psoriasis pathogenesis is increasingly linked to the microbiome.
  • Alterations in skin flora are observed between healthy individuals and psoriatic patients.
  • Specific microbes like *Streptococci*, *Malassezia*, *Staphylococcus aureus*, and *Candida albicans* may influence psoriasis exacerbation.

Purpose of the Study:

  • To review and evaluate the pathogenic mechanisms connecting the microbiota to psoriasis.
  • To synthesize current understanding of the role of cutaneous and gut microbiome in psoriasis.

Main Methods:

  • Comprehensive literature search of peer-reviewed articles.
  • Databases searched include MEDLINE and PubMed from January 1990 to March 2021.
  • Included clinical trials, original reports, and scientific reviews.

Main Results:

  • Evidence suggests a significant association between microbiome composition and psoriasis.
  • Specific microbial colonization may trigger or worsen psoriatic conditions.
  • Both skin and gut microbiomes are implicated in disease development.

Conclusions:

  • The microbiome plays a crucial role in the pathogenesis of psoriasis.
  • Understanding these microbial links can inform future therapeutic strategies.
  • Further investigation into microbiota-targeted interventions for psoriasis is warranted.