key: cord-1043036-ifdm2x0e authors: Munguía‐Calzada, Pablo; Drake‐Monfort, Marta; Armesto, Susana; Reguero‐del Cura, Leandra; López‐Sundh, Ana Elisabet; González‐López, Marcos Antonio title: Psoriasis flare after influenza vaccination in Covid‐19 era: A report of four cases from a single center date: 2020-12-22 journal: Dermatol Ther DOI: 10.1111/dth.14684 sha: c676a621b9d400674ddf76c39c919e7993d762b6 doc_id: 1043036 cord_uid: ifdm2x0e nan Psoriasis is a chronic inflammatory disease affecting 1% to 3% of the world's population 1, 2 and results from the interaction between genetics and environmental factors such as stress, infections, and drugs, causing a T-cell-mediated response. [1] [2] [3] Vaccination is an uncommon triggering factor for the flare-ups of several skin diseases, 2,4-6 and a potential association between vaccination and the onset or exacerbation of psoriasis has been previously documented. 2, [5] [6] [7] In this letter, we report four new cases of psoriasis flare-ups after an influenza vaccination ( Table 1 ). The first patient was a 41-year-old man with chronic plaque psoria- Vaccination and autoimmunity-'vaccinosis': a dangerous liaison? Possible triggering effect of influenza vaccination on psoriasis Psoriasis-as an autoimmune disease caused by molecular mimicry Psoriasis vaccinalis; report of two cases, one following B.C.G. vaccination and one following vaccination against influenza National survey of psoriasis flares after 2009 monovalent H1N1/seasonal vaccines New onset guttate psoriasis following pandemic H1N1 influenza vaccination Widespread psoriasis flare following influenza vaccination New-onset psoriasis and psoriatic arthritis in a patient treated with bacillus Calmette-Guerin (BCG) immunotherapy Psoriasis triggered by tetanusdiphtheria vaccination Generalized exacerbation of psoriasis vulgaris induced by pneumococcal polysaccharide vaccine Double trouble: influenza and pneumococcal vaccine exacerbation of psoriasis in a new-onset polycythemia vera patient