Aetiology |
Unknown, likely inflammatory and/or autoimmune? |
Autoimmune |
Triggers |
Food, allergy, stress nutritional deficiencies, hormonal disturbances, gluten intolerance, oral microbiota? |
Infections, skin injuries, cold, stress/psychological factors? |
Pathophysiology |
Atrophy of filiform papillae (depapillation, loss of epithelium), intense aggregation of neutrophiles in epithelium |
Epidermal hyperproliferation, parkeratosis, increased epidermal the epidermal cell turnover rate |
Pathological pathways |
Neutrophiles, inflammatory mediators |
Pro-inflammatory cytokines, with a dominant IL-23 and Th17 axis |