Q. What causes psoriasis?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

The exact cause of psoriasis is not fully understood, but it is believed to result from a combination of genetic and environmental factors. Here are some key factors that are thought to contribute to the development of psoriasis:

1. Genetics: Family history plays a significant role in psoriasis. If one or both of your parents have psoriasis, you are at a higher risk of developing the condition. Specific genetic factors associated with psoriasis have been identified.

2. Immune System Abnormalities: Psoriasis is considered an autoimmune disease, which means the immune system mistakenly targets and attacks healthy skin cells. This results in the rapid turnover of skin cells and the development of plaques.

3. Environmental Triggers: Certain environmental factors can trigger or exacerbate psoriasis in individuals who are genetically predisposed. Common triggers include stress, infections (such as streptococcal throat infections), skin injuries (like cuts, burns, or insect bites), and some medications.

4. Inflammatory Pathways: There are specific inflammatory pathways and molecules, such as tumor necrosis factor-alpha (TNF-alpha) and interleukins, that are involved in the development of psoriasis.

5. Lifestyle Factors: Smoking, excessive alcohol consumption, and obesity have been associated with an increased risk of developing or worsening psoriasis.

It's important to note that the exact interplay of these factors can vary among individuals. Not everyone with a genetic predisposition to psoriasis will develop the condition, and not all individuals who develop psoriasis have a family history of the disease. Psoriasis is a complex condition, and research into its causes and mechanisms is ongoing.

If you suspect you have psoriasis or are concerned about your risk, it's best to consult with a healthcare professional for a proper diagnosis and to discuss potential treatment options.

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