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Some of the most common factors that may trigger psoriasis include: Strep throat can trigger a cycle, and in fact, it is often the first trigger that sets off psoriasis in children

A recent chapter in epigenetics is represented by microRNAs (miRNAs) and long non-coding RNAs (lncRNAs) which regulate gene expression

Although most patients had heard that psoriasis and PsA are part of a systemic disease, their understanding of the specific manifestations and comorbidities of PsA was lacking, and as such, patients may require additional education

1 The Overview of Nuclear Factor Erythroid (NF-E2)-Related Factor 2 (Nrf2) and Nuclear Factor-Kappa B (NF-B) 1.1 The Role of Nrf2 and Its Regulation When our body is continuously exposed to external stresses, its easy to produce the excessive free radicals and reactive oxygen species (ROS) in the mitochondria, peroxisomes, and endoplasmic reticulum (ER), and downregulate endogenous antioxidants such as enzymes and antioxidant proteins (may be stress upregulated sometimes, but not enough to resist oxidative stress), thereby leading to damage of cellular components including proteins, DNA, and lipids (Tonelli et al., 2018)