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Abstract Psoriasis is a common, chronic, relapsing/remitting, immunemediated disease characterized by red, scaly papules and plaques with a worldwide prevalence of 2–4%. The most common form of psoriasis is plaque psoriasis. Other less common types of psoriasis also occur, such as pustular, guttate, erythrodermic, inverse and psoriatic arthritis. The most characteristic lesions consist of red, scaly sharply demarcated, erythematous papules and plaques present particularly over the extensor surfaces and the scalp. The exact etiology of psoriasis is unknown, but evolving evidence suggests that it is a complex disease caused by interaction of multiple factors includes immunological, genetic and environmental factors. It has been recognized as a systemic disorder associated with various comorbidities. Human CRNN gene is encoded on chromosome 1q21 where the epidermal differentiation complex localized. CRNN is a 53-KDa protein of 495 amino acids with a calcium-binding motif of about 90 residues at its N-terminus and a conserved consecutive repeat sequence of 60 amino acids. Its structural characteristics are similar to those of ―fused gene‖ family members of the epidermal differentiation complex. In recent years, increasing evidence has implicated the role of CRNN in a wide range of human squamous-cell epithelioma. Cornulin, also called c1orf10 or SEP53, is a cornified squamous epithelial protein. CRNN was initially discovered in esophageal cells. Subsequent studies have shown that CRNN is also expressed in other squamous cells and epithelial cells. It is located primarily in the upper layers of differentiated squamous tissues and plays an important role epidermal differentiation. CRNN was considered as a marker of late keratinocyte differentiation. Psoriasis susceptibility 4 is a psoriasis susceptibility gene in the chromosome 1q21 region. The 1q21 region harbors EDC. Altered epidermal differentiation is an important hallmark of psoriatic skin; therefore, the EDC genes have been considered psoriasis gene candidate. |