Psoriasis is an inflammatory disease that affects the skin. It is characterised by the emergence of scales and red patches on various areas of the body. Certain factors are suggested to promote the onset of psoriasis, such as alcohol consumption. Is this really the case? The answer is in this article.
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- Alcoholism: A Trigger Factor for Psoriasis?
Alcoholism: A Trigger Factor for Psoriasis?
- What are the causes of the onset of psoriasis?
- What is the connection between psoriasis and alcohol?
- Sources
What are the causes of the onset of psoriasis?
Skin inflammation is caused by a failure of the immune system. T lymphocytes produce inflammatory cytokines (IL-17, IL-22, TNF-α, among others). These stimulate the proliferation of keratinocytes. When the renewal period of skin cells, which is normally about three weeks, is accelerated to just three days, this leads to an accumulation of immature keratinocytes on the skin's surface. The consequences are an increase in the thickness of the outer layer of the skin, known as the horny layer, and is referred to as hyperkeratosis.
What is the connection between psoriasis and alcohol?
Currently, there is no scientific link between alcohol consumption and the onset of psoriasis. However, alcohol could potentially exacerbate psoriasis. Indeed, it is believed to worsen skin inflammation by affecting both innate and adaptive immunity. Alcohol is thought to stimulate the proliferation of lymphocytes and keratinocytes, as well as the production of pro-inflammatory cytokines.
Some clinical studies have demonstrated a positive correlation between alcohol consumption and the extent of psoriasis. A study involving 1,203 hospitalised patients with various subtypes of psoriasis revealed a relationship between the Psoriasis Area and Severity Index (PASI) and the level of alcohol consumed. The higher the level of alcohol consumed, the greater the severity of the psoriasis.
In addition to harming health, alcoholism could potentially exacerbate psoriasis, particularly by increasing systemic inflammation within the body. However, it should be noted that no study has definitively established a link between alcohol and psoriasis due to a limited number of willing participants. Therefore, it is advised to limit alcohol consumption as much as possible in the case of psoriasis.
Sources
RICHEUX V. Alcool et tabac : le risque de l'engrenage. Association France Psoriasis (2011).
SVANSTRÖM C. & al. Psoriasis and alcohol. Psoriasis: Targets and Therapy (2019).
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