Evidence map›Paper›PMID 41508833›Full record

ArticleActa dermato-venereologica2026

COVID-19 Infection vs Vaccination and the Risk of New-onset Psoriasis.

Sophie L Preuß, Henning Olbrich, Katja Bieber, Artem Vorobyev, Eva Lotta Moderegger, Khalaf Kridin, Henner Zirpel, Diamant Thaçi, Evelyn Gaffal, Ralf J Ludwig and 1 more

Abstract readComparative Study
In one paragraph

Article in Acta dermato-venereologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sophie L PreußDepartment of Dermatology, University Medical Center of the State of Schleswig-Holstein (UKSH), Campus Lübeck, Lübeck, Germany.ORCID 0000-0003-0661-7573
Henning OlbrichDepartment of Dermatology, University Medical Center of the State of Schleswig-Holstein (UKSH), Campus Lübeck, Lübeck, Germany.ORCID 0000-0003-0863-7148
Katja BieberLübeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, Germany.ORCID 0000-0002-3855-6683
Artem VorobyevDepartment of Dermatology, University Medical Center of the State of Schleswig-Holstein (UKSH), Campus Lübeck, Lübeck, Germany.ORCID 0000-0002-1542-0732
Eva Lotta ModereggerDepartment of Dermatology, University Medical Center of the State of Schleswig-Holstein (UKSH), Campus Lübeck, Lübeck, Germany.ORCID 0000-0002-7124-0146
Khalaf KridinLübeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, Germany; Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel; Unit of Dermatology and Skin Research Laboratory, Barch Padeh Medical Center, Poriya, Israel.ORCID 0000-0001-9971-9151
Henner ZirpelInstitute and Comprehensive Centre for Inflammation Medicine, University of Lübeck, Germany.ORCID 0000-0003-0053-4312
Diamant ThaçiInstitute and Comprehensive Centre for Inflammation Medicine, University of Lübeck, Germany.ORCID 0000-0001-8513-550X
Evelyn GaffalDepartment of Dermatology, University Medical Center of the State of Schleswig-Holstein (UKSH), Campus Lübeck, Lübeck, Germany.ORCID 0000-0002-4639-9841
Ralf J LudwigLübeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, Germany.ORCID 0000-0002-1394-1737
Philip CurmanLübeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, Germany; Dermato-Venereology Clinic, Karolinska University Hospital, Stockholm, Sweden; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Dermatology and Venereology Division, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden. philip.curman@ki.se.ORCID 0000-0003-2051-8491

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging evidence has suggested a link between new-onset psoriasis and both COVID-19 infection and vaccination, though findings have been limited by small case numbers and lack of adequate control groups. This retrospective cohort study used electronic health records from the US Collaborative Network of TriNetX from January 2020 to January 2025 to compare the risk of developing new-onset psoriasis in individuals with confirmed COVID-19 infection and no vaccination history vs those vaccinated without prior infection. Propensity score matching was applied to balance demographics, comorbidities, and psoriasis risk factors. The primary outcome was a new diagnosis of psoriasis (ICD10-CM: L40.0-5) within 3 months following infection or vaccination. Subgroup analyses assessed the specific codes L40.0-5 separately. Kaplan-Meier survival analysis and Cox proportional hazards models were used to compare outcomes. Patients with COVID-19 infection had a significantly higher risk of developing psoriasis compared with vaccinated individuals (HR 1.30; 95% CI, 1.14-1.49; p < 0.001). Increased risks were also observed for psoriatic arthritis and pustulosis palmaris et plantaris. These findings suggest a potential triggering role of infection in psoriasis pathogenesis and support the safety profile of vaccination. Further studies are needed to confirm causality and guide clinical decision-making.

Indexed as

COVID-19COVID-19 VaccinesPsoriasisVaccinationAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsUnited StatesCOVID-19 Vaccines

Identifiers

PMID41508833
PMCPMC12800787

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.