Psoriasis is a chronic skin disease, characterized by epidermal hyperplasia, inflammation, angiogenesis and vascular remodelling. An immunohistochemical study on fifteen cryosections of psoriatic skin was performed using antibodies against VEGF, HIFl-a, CD34, Factor VIII, MMP-2, MMP-9, TIMP-l and TIMP-2. Psoriatic skin showed a diffuse VEGF positive staining (13.15± 6.6), while no expression was observed in normal epidermis. No or faint HIF-la immunostaining was detected in healthy skin, while in psoriatic skin HIF-la was diffusely expressed. A positive correlation between HIF-la and VEGF was reported in psoriatic skin (r= 0.644; p=0.010). In psoriatic sections CD34 expression was significantly higher in respect to control skin (19.15 ± 12.61 vs 3.0 ± 0.23; p= 0.04), factor VIII immunostaining also demonstrated a significant increased development of the microvasculature in comparison with healthy skin (18.39 ± 8.16 vs 7.4 ± 0.20; p= 0.033). Total MMP-2 expression of healthy skin (30± 2.26) was significantly lower in respect to the MMP-2 psoriatic skin (71.5±4.13; p= 0.0001) an4-a-positive correlation was observed between VEGF and MMP-2 in psoriatic patients (r= 0.688; p= 0.046). In psoriatic skin MMP-9 expression was significantly increased in comparison to control skin (31±3.3 vs 8±6.1; p=0.007). All cases of psoriatic skin tissue showed that TIMP-2 and TIMP-l expression statistically decreased in psoriatic skin (respectively 11±1.2 and 12±1.5) in comparison with healthy skin (respectively 15±3.2 and 53±3.8; p=O.OOOI). In conclusion, we observed that VEGF overexpression correlated with HIF-la and MMP-2 expression, underlining the role of VEGF in psoriasis as a key factor in the link between inflammation and angiogenesis.Psoriasis is a chronic skin disease, characterized by epidermal hyperplasia, inflammation, angiogenesis and vascular remodelling (1-2). Microvascular changes within lesional skin include pronounced dilatation, tortuosity, increased permeability and endothelial cell proliferation within the venous limb of capillaries in the dermal papillae (3). Morphometric analysis of the vascular changes in psoriasis has shown that there is an increase in the capillary mass, compared with normal skin (4). Other studies have demonstrated that increased blood flow and tortuosity of the dermal capillary loops occur early in the progression of a lesion, before epidermal hyperplasia can be