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These include: Bacterial Infections such as strep throat Chronic stress Exposure to toxins, such as smoking or heavy alcohol consumption Skin abrasions, bug bites or severe sunburns Vitamin D deficiency Some medications, such as high blood pressure meds, antimalarial drugs, or lithium Gluten exposure if youre sensitive Complications From Psoriasis In addition to pain and discomfort, psoriasis can lead to some pretty serious complications