Skip to main content

Dermatologic Diseases: Psoriasis and Psoriatic Arthritis

  • Chapter
  • First Online:
European Handbook of Dermatological Treatments

Abstract

Psoriasis is a chronic, inflammatory, immune-mediated disease triggered by external insults (infections, trauma, drugs, and psychological stress) in genetically susceptible individuals. Various classes of T cells (with IL23/Th17 axis playing a central role), interacting with dendritic cells, neutrophils and keratinocytes, are responsible for the development of an inflammatory cascade, leading to uncontrolled keratinocyte proliferation. Plaque psoriasis (with erythematous lesions covered by white silvery scales) is the most common clinical form of the disease, but several clinical variants have been described. Psoriatic arthritis is a common association together with metabolic syndrome, depression, or cardiovascular disease. Mild forms of psoriasis are usually treated with topical therapies or phototherapy, whereas moderate-to-severe psoriasis usually requires systemic therapies with traditional or biological therapies.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 349.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 449.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Further Reading

  • Alinaghi F, Calov M, Kristensen LE, et al. Prevalence of psoriatic arthritis in patients with psoriasis: a systematic review and meta-analysis of observational and clinical studies. J Am Acad Dermatol. 2019;80(1):251–265.e19.

    Article  PubMed  Google Scholar 

  • Bergboer JG, Zeeuwen PL, Schalkwijk J. Genetics of psoriasis: evidence for epistatic interaction between skin barrier abnormalities and immune deviation. J Invest Dermatol. 2012;132:2320–1.

    Article  CAS  PubMed  Google Scholar 

  • Chimenti MS, Gramiccia T, Saraceno R, et al. Apremilast for the treatment of psoriasis. Expert Opin Pharmacother. 2015;16(13):2083–94; Epub 2015 Aug 4.

    Article  CAS  PubMed  Google Scholar 

  • Chiricozzi A, Pitocco R, Saraceno R, Nistico SP, Giunta A, Chimenti S. New topical treatments for psoriasis. Expert Opin Pharmacother. 2014;15(4):461–70.

    Article  CAS  PubMed  Google Scholar 

  • Di Cesare A, Di Meglio P, Nestle FO. The IL-23/Th17 axis in the immunopathogenesis of psoriasis. J Invest Dermatol. 2009;129(6):1339–50.

    Article  PubMed  Google Scholar 

  • Elder JT, Nair RP, Guo SW, Henseler T, Christophers E, Voorhees JJ. The genetics of psoriasis. Arch Dermatol. 1994;130(2):216–24.

    Article  CAS  PubMed  Google Scholar 

  • Elmets CA, Leonardi CL, Davis DMR, et al. Joint AAD-NPF guidelines of care for the management and treatment of psoriasis with awareness and attention to comorbidities. J Am Acad Dermatol. 2019;80(4):1073–113.

    Article  PubMed  Google Scholar 

  • Gelfand JM, Stern RS, Nijsten T, et al. The prevalence of psoriasis in African Americans: results from a population-based. J Am Acad Dermatol. 2005 Jan;52(1):23–6.

    Article  PubMed  Google Scholar 

  • Giardina E, Sinibaldi C, Novelli G. The psoriasis genetics as a model of complex disease. Curr Drug Targets Inflamm Allergy. 2004;3:129–36.

    Article  CAS  PubMed  Google Scholar 

  • Griffiths CE, Christophers E, Barker JN, et al. A classification of psoriasis vulgaris according to phenotype. Br J Dermatol. 2007;156(2):258–62.

    Article  CAS  PubMed  Google Scholar 

  • Hoeger PH, Kinsler V, Yan AC, Bodemer C, Larralde M, Luk D, Mendiratta V, Purvis D, Harper J, Oranje AP. Harper’s textbook of pediatric dermatology, 2 Volume Set. 4th ed. Wiley-Blackwell; 2019.

    Book  Google Scholar 

  • Kamata M, Tada Y. Safety of biologics in psoriasis. J Dermatol. 2018;45(3):279–86.

    Article  PubMed  Google Scholar 

  • Lønnberg AS, Skov L, Skytthe A, et al. Heritability of psoriasis in a large twin sample. Br J Dermatol. 2013;169(2):412–6.

    Article  PubMed  Google Scholar 

  • Lynde CW, Poulin Y, Vender R, et al. Interleukin 17A: toward a new understanding of psoriasis pathogenesis. J Am Acad Dermatol. 2014;71(1):141–50.

    Article  CAS  PubMed  Google Scholar 

  • Menter A, Korman NJ, Elmets CA, et al. Guidelines of care for the management of psoriasis and psoriatic arthritis: section 4. Guidelines of care for the management and treatment of psoriasis with traditional systemic agents. J Am Acad Dermatol. 2009a;61(3):451–85.

    Article  CAS  PubMed  Google Scholar 

  • Menter A, Korman NJ, Elmets CA, et al. Guidelines of care for the management of psoriasis and psoriatic arthritis. Section 3. Guidelines of care for the management and treatment of psoriasis with topical therapies. J Am Acad Dermatol. 2009b;60(4):643–59.

    Article  PubMed  Google Scholar 

  • Menter A, Korman NJ, Elmets CA, et al. Guidelines of care for the management of psoriasis and psoriatic arthritis: section 5. Guidelines of care for the treatment of psoriasis with phototherapy and photochemotherapy. J Am Acad Dermatol. 2010;62(1):114–35.

    Article  CAS  PubMed  Google Scholar 

  • Nall LM, Farber EM. Psoriasis. In: Proc 2nd Int Sympos. New York: Yorke Medical Books; 1977. p. 331.

    Google Scholar 

  • Parisi R, Symmons DPM, Griffiths CEM, et al. Global epidemiology of psoriasis: a systematic review of incidence and prevalence. J Invest Dermatol. 2013;133(2):377–85.

    Article  CAS  PubMed  Google Scholar 

  • Pathirana D, Ormerod AD, Saiag P, et al. European S3-guidelines on the systemic treatment of psoriasis vulgaris. J Eur Acad Dermatol Venereol. 2009;23(Suppl 2):1–70.

    Article  PubMed  Google Scholar 

  • Phan K, Onggo J, Charlton O, Smith SD. Relationship between psoriasis and non-alcoholic fatty liver disease - updated systematic review and adjusted meta-analysis. Australas J Dermatol. 2019;60(4):e352–5.

    Article  PubMed  Google Scholar 

  • Prieto-Pérez R, Cabaleiro T, Daudén E, et al. Genetics of psoriasis and pharmacogenetics of biological drugs. Autoimmune Dis. 2013;2013:613086.

    PubMed  PubMed Central  Google Scholar 

  • Rendon A, Schäkel K. Psoriasis pathogenesis and treatment. Int J Mol Sci. 2019;20(6):1475.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shah K, Mellars L, Changolkar A, Feldman SR. Real-world burden of comorbidities in US patients with psoriasis. J Am Acad Dermatol. 2017;77(2):287–292.e4.

    Article  PubMed  Google Scholar 

  • World Health Organization. Global report on psoriasis. 2016 [internet publication].

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Chiricozzi, A., Pirro, F. (2023). Dermatologic Diseases: Psoriasis and Psoriatic Arthritis. In: Katsambas, A.D., Lotti, T.M., Dessinioti, C., D'Erme, A.M. (eds) European Handbook of Dermatological Treatments. Springer, Cham. https://doi.org/10.1007/978-3-031-15130-9_78

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-15130-9_78

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-15129-3

  • Online ISBN: 978-3-031-15130-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics