“…The skin, as the outermost layer of the body, is readily influenced by external stimuli and seems to have a local stress response system (4,5); that is not only affected by direct external stimuli, but also by systemic physical and psychological stress. Several chronic cutaneous diseases, such as atopic dermatitis, psoriasis and chronic idiopathic urticaria, are exacerbated by psychological stress, and these clinical findings are in accordance with experimental results, showing that stress disturbs cutaneous and stratum corneum functions (6,7), causes increased inflammatory reaction (8,9) and modulates immunity (10–12).…”