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Psoriasis: The Missing Manual

A comprehensive, evidence-based guide to psoriasis, covering immunology, genetics, comorbidities, and treatment. Compiled from 230+ peer-reviewed sources.

Foundation & Context

Introduction, 3,000 years of psoriasis history, and global epidemiology.

Understanding the Disease

Immune system primer, genetics, immunopathogenesis, novel mechanisms, environmental triggers, and drug-induced psoriasis.

Clinical Recognition & Diagnosis

Clinical presentation, difficult-to-treat sites, diagnostic testing, and biomarkers.

Psoriasis as a Systemic Disease

Comorbidities, psoriatic arthritis, psychological burden, sleep, sexual health, pain, and itch.

Living with Psoriasis

Evidence-based lifestyle and diet advice, daily management, and special populations.

Treatment

Remission, topical treatments, the biologic revolution, NHS pathway, and traditional medicine.

Recent Advances & Future Directions

Landmark studies, emerging therapies, digital health, and vaccination.

About This Book

Author: Miko Pawlikowski Date: February 2026

I’m not a doctor. I’m a software engineer with psoriasis who wanted a single, rigorous guide to the science behind the disease. This book synthesises the current state of psoriasis research into something comprehensive and honest. Every claim is cited, every mechanism explained. It’s free to read at psoriasis.fyi.