“…This fact could be explained by the inflammatory environment promoted by high levels of tumor necrosis factor-alfa and interleukin 6, and hyperinsulinemia, shared by metabolic syndrome, dyslipidemia, type 2 diabetes, and psoriasis, and by the role of angiotensin II, which favors the release of inflammatory cytokines in the case of hypertension. 3,4 In the majority of reports, BMI and weight are considered the main key factors in influencing the treatment response in psoriasis, with a general trend of having a negative effect. 5 However, we did not find significant associations between BMI or weight and biological treatment response.…”