2009
DOI: 10.1007/s00105-008-1661-5
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Bedeutung von Streptokokken für die Psoriasispathogenese

Abstract: Infections with Streptococcus pyogenes are highly relevant among the environmental factors that contribute to first onset or relapses of psoriasis in predisposed individuals. Streptococcal angina or pharyngitis, but also perianal streptococcal dermatitis, vulvovaginitis or balanoposthitis are potential causes. Several mechanisms such as molecular mimicry or superantigens may be involved. Many patients develop a chronic streptococcal infection or colonization that may result from the ability of streptococci for… Show more

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Cited by 19 publications
(5 citation statements)
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References 61 publications
(59 reference statements)
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“…An increase in Streptococcaceae has been observed in psoriatic subject, confirming data of previous works, in which the presence of Streptococcus spp was linked to the pathogenesis of psoriasis [ 20 , 21 ]. Streptococcaceae are highly relevant among the environmental factors that are involved in the development of psoriasis [ 21 ]. Different mechanisms, such as molecular mimicry, superantigens and the ability of streptococci for intracellular uptake and persistence in skin cells, may be involved in the pathogenesis of the disease.…”
Section: Discussionsupporting
confidence: 89%
“…An increase in Streptococcaceae has been observed in psoriatic subject, confirming data of previous works, in which the presence of Streptococcus spp was linked to the pathogenesis of psoriasis [ 20 , 21 ]. Streptococcaceae are highly relevant among the environmental factors that are involved in the development of psoriasis [ 21 ]. Different mechanisms, such as molecular mimicry, superantigens and the ability of streptococci for intracellular uptake and persistence in skin cells, may be involved in the pathogenesis of the disease.…”
Section: Discussionsupporting
confidence: 89%
“…E. coli has been reported as one of the related microorganisms that may cause psoriasis [ 51 ]. Streptococcus is a well-recognized reason for acute guttate psoriasis [ 52 ], which is highly correlated with first onset/relapse in individuals who are prone to psoriasis [ 53 ]. So some scholars believe that long-term prevention and treatment of Streptococcus pyogenes infection are very important in the management of chronic plaque psoriasis [ 53 ].…”
Section: Resultsmentioning
confidence: 99%
“…tempered skin inflammation with lymphocytes leaving the skin (15-17); impaired adhesion molecule expression [e.g. CLA-counterligand E-selectin) on skin microvasculature (18,19); relapsing patients: IFN-alphamediated disease relapse with skin-infiltrating lymphocytes (20)(21)(22)(23), provoking role of underlying infections (24)(25)(26)(27)(28)]. We recommend further investigations to find clear elucidation for our observations and confirm our primary results establishing a potential role of CLA in predicting long-term effectiveness of TNFalpha inhibitor therapy in psoriasis.…”
Section: Discussionmentioning
confidence: 99%