2001
DOI: 10.1007/s11926-996-0013-7
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Disease Mechanisms in psoriasis and psoriatic arthritis

Abstract: Any hypothesis that tries to explain disease mechanisms in psoriasis and psoriatic arthritis (PsA) must take into account the containment of the inflammatory process to three specific sites: the skin, synovium, and enthesis. This article reviews the recent literature that advances our understanding of disease mechanisms at these specific sites. Additional progress will be achieved by research that focuses on common pathogenic pathways at these sites, in particular when searching for foreign candidates or auto-… Show more

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Cited by 11 publications
(8 citation statements)
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“…The lesions are infiltrated by inflammatory cells, but a marked increase in proliferation and turnover of keratinocytes distinguish psoriasis from other inflammatory skin diseases. The disease has a strong but complex genetic basis, with a concordance rate of 50%-70% among MZ twins (Farber et al 1974;Eastmond 1994;Costello and FitzGerald 2001). Several genetic loci have been suggested, but only a major histocompatability (MHC) locus on chromosome 6 has been independently reported by at least two groups as significant genomewide (Elder et al 2001).…”
Section: Introductionmentioning
confidence: 99%
“…The lesions are infiltrated by inflammatory cells, but a marked increase in proliferation and turnover of keratinocytes distinguish psoriasis from other inflammatory skin diseases. The disease has a strong but complex genetic basis, with a concordance rate of 50%-70% among MZ twins (Farber et al 1974;Eastmond 1994;Costello and FitzGerald 2001). Several genetic loci have been suggested, but only a major histocompatability (MHC) locus on chromosome 6 has been independently reported by at least two groups as significant genomewide (Elder et al 2001).…”
Section: Introductionmentioning
confidence: 99%
“…We propose a working hypothesis of how IL-20 may be involved in the disease process summarized in the Figure 2. Epidemiological studies have demonstrated an association between the increased morbidity of atherosclerosis and RA [69,70] and between the increased morbidity of RA and psoriasis [71][72][73][74]. Angiogenesis plays a crucial role in the pathogenesis of psoriasis and RA, and in the progression of atherosclerosis plaque.…”
Section: Discussionmentioning
confidence: 99%
“…The well‐documented familial aggregation and the high concordance rate in monozygotic and dizygotic twins provide strong evidence of the importance of genetic factors in PsA. Several recent reports have reviewed the linkage between PsA and specific HLAs, such as B13, B16 (B38/B39), B17 (B57), Cw6 and DR4 (8–11). In particular, HLA‐B27 has been related to spine involvement (12).…”
Section: Discussionmentioning
confidence: 99%