Systemic aspects of psoriasis An integrative model based on intestinal etiology

David L. Mcmillin MACorresponding Author Contact Information, E-mail The Corresponding Author, Douglas G. Richards PImageD, Eric A. Mein MD and Carl D. Nelson DC
Meridian Institute, Virginia Beach, VA, USA.

Available online 14 September 2000.


Psoriasis can best be understood from a multifactorial approach that recognizes the systemic aspects of the disorder. Among the various factors thought to be involved in the etiology and pathogenesis of psoriasis, bowel pathology has assumed a noteworthy position in the literature. This article reviews the psoriasis/bowel connection with regard to abnormal bowel structure and physiology in psoriasis patients. Clinical implications of bowel involvement in psoriasis are discussed within the framework of an integrative medicine model that emphasizes natural therapeutics for addressing the systemic aspects of the illness.

Author Keywords: psoriasis; intestinal permeability; integrative medicine

Corresponding Author Contact Information Address reprint requests to: David L. McMillin, MA, Meridian Institute, 1853 Old Donation Parkway, Suite 1, Virginia Beach, VA 23454, USA; email:

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