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Patients with psoriasis experience a well\u2010known clinical phenomenon of \u2018winter severity and summer relief\u2019, in which seasonal environmental factors play critical roles in the onset and progression of psoriasis. These factors include temperature, humidity, infection, light exposure and psychological stress. Seasonal changes in temperature and humidity can compromise skin barrier function and exacerbate inflammatory responses, thereby worsening psoriasis symptoms. Notably, during the winter, decreased light exposure leads to reduced vitamin D (VD) levels, reaching their lowest levels from late winter to early spring. This decline in VD levels is associated with increased disease activity, greater disease severity and more frequent flare\u2010ups in patients with psoriasis. During the winter, influenza and <jats:styled-content style=\"fixed-case\"><jats:italic>Streptococcus pneumoniae<\/jats:italic><\/jats:styled-content> infections are more prevalent, which can further exacerbate psoriasis symptoms. Moreover, the environmental conditions in winter can trigger or intensify feelings of depression, which may adversely affect psoriasis through the brain\u2013skin axis. In this comprehensive review, we thoroughly examined the influence of seasonal environmental factors on the incidence, recurrence and severity of psoriasis. By clarifying these complex relationships, we aimed to support the future development of more personalised and effective treatment and management strategies for patients with psoriasis.<\/jats:p>","DOI":"10.1111\/exd.70078","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T05:34:48Z","timestamp":1742362488000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The Impacts of Seasonal Factors on Psoriasis"],"prefix":"10.1111","volume":"34","author":[{"given":"Jundan","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Dermatology, Xijing Hospital Fourth Military Medical University  Xi'an Shaanxi China"},{"name":"College of Life Sciences Northwest University  Xi'an Shaanxi 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