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A second direction of the interrelationship between psoriasis and obesity indicates that patients with psoriasis have elevated levels of inflammatory cytokines, particularly TNF-, which can lead to metabolic abnormalities, including insulin resistance, and may consequently lead to the development of obesity (211)

[DOI] [PMC free article] [PubMed] [Google Scholar] 37.Baker B.H., Rafikian E.E., Hamblin P.B., Strait M.D., Yang M., Pearson B.L