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We investigated the bidirectional associations between laparoscopically confirmed endometriosis and physician-diagnosed psoriasis and PsA in the Nurses\u2019 Health Study II cohort (n\u00a0= 116,429, United States, 1991\u20132013). We confirmed 4,112 incident cases of laparoscopically confirmed endometriosis (mean age at diagnosis\u00a0= 40.3 years) and 697 validated physician-diagnosed cases of psoriasis (mean age at diagnosis\u00a0= 43.6 years), 110 of which presented with concomitant PsA. A history of psoriasis with concomitant PsA was associated with a 2-fold higher risk of endometriosis (hazard ratio (HR)\u00a0= 2.01, 95% CI: 1.23, 3.30); however, no association was observed between psoriasis without PsA and endometriosis risk (HR\u00a0= 0.93, 95% CI: 0.68, 1.26). When endometriosis was the exposure, it was not associated with a risk of subsequent psoriasis (HR\u00a0= 1.28, 95% CI: 0.95, 1.72). The risk of psoriasis with PsA was notably higher; however, the sample size was small and the confidence intervals wide (HR\u00a0= 1.77, 95% CI: 0.89, 3.52). Our findings suggest that psoriasis with concomitant PsA is associated with greater risk of laparoscopically confirmed endometriosis. In addition, there was a suggestive association between endometriosis diagnosis and subsequent risk of psoriasis with PsA.<\/jats:p>","DOI":"10.1093\/aje\/kwac009","type":"journal-article","created":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T10:34:50Z","timestamp":1641983690000},"page":"1050-1060","source":"Crossref","is-referenced-by-count":15,"title":["Endometriosis, Psoriasis, and Psoriatic Arthritis: A Prospective Cohort Study"],"prefix":"10.1093","volume":"191","author":[{"given":"Holly R","family":"Harris","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen Moreno 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