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Psoriasis – a systemic inflammatory disorder: clinic,pathogenesis and therapeutic perspectives
Authors:Wolf‐Henning Boehncke  Wolfram Sterry
Affiliation:1. Department of Dermatology and Venereology, University of Frankfurt/Main, Germany;2. Department of Dermatology, Venereology and Allergy, Charité Medical University, Berlin Germany
Abstract:Psoriasis has seen a dramatic change in its perception by dermatologists as well as other medical specialties. Its well‐recognized association with several other diseases makes a complete switch in its management necessary. This review summarizes current epidemiological data on the comorbidities of psoriasis. Subsequently, the evidence for insulin resistance as a cause for endothelial cell dysfunction with its relevant pathogenetic link to the development of cardiovascular comorbidity is discussed. Based on these novel insights, we propose a possible state‐of‐the‐art approach towards comprehensive psoriasis management.
Keywords:psoriasis  therapy  pathogenesis  inflammation  guideline  insulin resistance  endothelial dysfunction
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