“…Streptococcal infections may precipitate psoriasis [5]. Other disease-modifying factors may be trauma, drugs, sunlight and metabolic and psychogenic factors, as well as alcohol and smoking [6,7]. Psoriasis is reported to be associated with cardiovascular disease [8], metabolic syndrome [9], inflammatory bowel diseases, rheumatoid arthritis, sero-negative spondyloarthropathies, malignancy, streptococcal tonsillitis, smoking, alcohol abuse, psychiatric disorders and stress [10][11][12][13].…”