The risk of developing psoriasis in alcohol-dependent patients and possible therapeutic strategies

Excessive alcohol consumption significantly contributes to the damage of the nervous, cardiovascular and digestive systems. According to the latest scientific reports, excessive ethanol consumption might also contribute to an increased risk of developing skin diseases such as rosacea, porphyria cuta...

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Main Authors: Iga Dudek, Dorota Sokół, Tomasz Skubel, Michał Dobrzyński, Małgorzata Drozd, Jakub Czarnota, Alicja Forma, Halina Piecewicz-Szczęsna
Format: Article
Language:English
Published: Kazimierz Wielki University 2020-08-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/31185
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author Iga Dudek
Dorota Sokół
Tomasz Skubel
Michał Dobrzyński
Małgorzata Drozd
Jakub Czarnota
Alicja Forma
Halina Piecewicz-Szczęsna
author_facet Iga Dudek
Dorota Sokół
Tomasz Skubel
Michał Dobrzyński
Małgorzata Drozd
Jakub Czarnota
Alicja Forma
Halina Piecewicz-Szczęsna
author_sort Iga Dudek
collection DOAJ
description Excessive alcohol consumption significantly contributes to the damage of the nervous, cardiovascular and digestive systems. According to the latest scientific reports, excessive ethanol consumption might also contribute to an increased risk of developing skin diseases such as rosacea, porphyria cutanea tarda or psoriasis. The risk of developing psoriasis in alcohol-dependent patients is estimated at 3.1-3.4%. Among these people, in addition to the use of traditional therapeutic strategies, therapy with drugs acting on the neurotransmitter systems may constitute a potential treatment. Chronic alcohol consumption increases the activation of T lymphocytes as well as the level of tumor necrosis factor-α (TNF-α) and also stimulates the excessive proliferation of keratinocytes. These factors dysregulate the immune system, predisposing to the risk of developing psoriasis. Alcohol also interferes with signaling through neurotransmission affecting dopaminergic and serotonergic systems, which may affect the immune processes in the pathogenesis of psoriasis. The results of the research showed that the daily consumption of alcohol in an amount greater than 80 grams significantly reduces the effectiveness of treatment in psoriatic patients. Moreover, traditional drugs used in the course of psoriasis (retinoids, methotrexate, cyclosporine) may show reduced activity or even lead to toxic side effects (liver fibrosis) if alcohol is not discontinued during therapy. Treatment of psoriatic patients and coexisting alcohol dependence is a separate therapeutic problem. In addition to traditional methods, drugs that affect the neurotransmitter system may become a chance, mainly due to the influence of alcohol on these systems and modulation of the immune response, which is important in the development of psoriasis.
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spelling doaj.art-da8e3d3b7aa9413bacde1ba48404178d2022-12-21T21:26:52ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062020-08-0110845045710.12775/JEHS.2020.10.08.05525157The risk of developing psoriasis in alcohol-dependent patients and possible therapeutic strategiesIga Dudek0Dorota Sokół1Tomasz Skubel2Michał Dobrzyński3Małgorzata Drozd4Jakub Czarnota5Alicja Forma6Halina Piecewicz-Szczęsna7Department of Epidemiology and Clinical Research Methodology, Medical University of LublinDepartment of Epidemiology and Clinical Research Methodology, Medical University of LublinDepartment of Epidemiology and Clinical Research Methodology, Medical University of LublinDepartment of Epidemiology and Clinical Research Methodology, Medical University of LublinDepartment of Epidemiology and Clinical Research Methodology, Medical University of LublinDepartment of Epidemiology and Clinical Research Methodology, Medical University of LublinDepartment of Epidemiology and Clinical Research Methodology, Medical University of LublinDepartment of Epidemiology and Clinical Research Methodology, Medical University of LublinExcessive alcohol consumption significantly contributes to the damage of the nervous, cardiovascular and digestive systems. According to the latest scientific reports, excessive ethanol consumption might also contribute to an increased risk of developing skin diseases such as rosacea, porphyria cutanea tarda or psoriasis. The risk of developing psoriasis in alcohol-dependent patients is estimated at 3.1-3.4%. Among these people, in addition to the use of traditional therapeutic strategies, therapy with drugs acting on the neurotransmitter systems may constitute a potential treatment. Chronic alcohol consumption increases the activation of T lymphocytes as well as the level of tumor necrosis factor-α (TNF-α) and also stimulates the excessive proliferation of keratinocytes. These factors dysregulate the immune system, predisposing to the risk of developing psoriasis. Alcohol also interferes with signaling through neurotransmission affecting dopaminergic and serotonergic systems, which may affect the immune processes in the pathogenesis of psoriasis. The results of the research showed that the daily consumption of alcohol in an amount greater than 80 grams significantly reduces the effectiveness of treatment in psoriatic patients. Moreover, traditional drugs used in the course of psoriasis (retinoids, methotrexate, cyclosporine) may show reduced activity or even lead to toxic side effects (liver fibrosis) if alcohol is not discontinued during therapy. Treatment of psoriatic patients and coexisting alcohol dependence is a separate therapeutic problem. In addition to traditional methods, drugs that affect the neurotransmitter system may become a chance, mainly due to the influence of alcohol on these systems and modulation of the immune response, which is important in the development of psoriasis.https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/31185psoriasisalcoholpsoriasis treatment
spellingShingle Iga Dudek
Dorota Sokół
Tomasz Skubel
Michał Dobrzyński
Małgorzata Drozd
Jakub Czarnota
Alicja Forma
Halina Piecewicz-Szczęsna
The risk of developing psoriasis in alcohol-dependent patients and possible therapeutic strategies
Journal of Education, Health and Sport
psoriasis
alcohol
psoriasis treatment
title The risk of developing psoriasis in alcohol-dependent patients and possible therapeutic strategies
title_full The risk of developing psoriasis in alcohol-dependent patients and possible therapeutic strategies
title_fullStr The risk of developing psoriasis in alcohol-dependent patients and possible therapeutic strategies
title_full_unstemmed The risk of developing psoriasis in alcohol-dependent patients and possible therapeutic strategies
title_short The risk of developing psoriasis in alcohol-dependent patients and possible therapeutic strategies
title_sort risk of developing psoriasis in alcohol dependent patients and possible therapeutic strategies
topic psoriasis
alcohol
psoriasis treatment
url https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/31185
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