“…Because of a systemic error in sulphur metabolism this incorporates sulphur which thus becomes unavailable for keratin synthesis. Flesch and Jackson Esoda (1961) believe that a mucopolysaccharide builds up in the pathologic horny layer instead of becoming decomposed as in normal keratinisation. A similar view is held by Tickner (1961), who suggests that the psoriatic lesion arises from a failure of the union of tonofibrin fibrils due to the presence, in abnormally large quantity, of a substance produced by some metabolic block.…”