“…In psoriasis, bacterial infection seems to play an important role in the etiology of the disease. Several products of Gram-positive bacteria, such as M protein, 28,29 superantigens, 30,31 and heat shock proteins, 32 have been associated with the humoral and cellular immune response of psoriatic patients. Recently, Baker et al 33 have reportedthat, in biopsiesfrompatientswithpsoriasis, there are macrophages containing PGN and T-helper-1 (Th1) cells, which respond specifically to PGN from S. pyogenes.…”