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Alongside the proliferation of KCs, the pathogenesis of psoriasis encompasses several processes, including neutrophil infiltration, abnormal lymphocyte differentiation, and the secretion of a myriad of cytokines and chemokines [12,13]

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Patients were excluded if they were 80 years, had decompensated cirrhosis in a critical clinical condition, pregnant or lactating, receiving chemotherapy, or if they had diabetic, cardiovascular, renal or chronic inflammatory diseases

In an RCT with 60 participants, a group receiving a probiotic preparation of Enterococcus faecalis and S