Psoriasis is a chronic disease that affects more than the skin. It has an impact 
on every facet of an individual's life and is associated with numerous 
comorbidities, such as obesity, diabetes, cardiovascular disease, psoriatic 
arthritis, metabolic syndrome, squamous cell carcinoma, lymphoma, depression, 
anxiety and other immune-related conditions, such as Crohn's disease. Obesity is 
inextricably linked with type 2 diabetes, hypertension, hyperlipidemia, and 
cardiovascular disease. Hypertension and cardiovascular disease are precursors 
for myocardial infarction and stroke. Lifestyle choices, such as smoking, 
alcohol consumption, inadequate nutrition and physical exercise are behaviours 
that need to be addressed. With the right education from the community nurse, 
patients can be informed about the decisions they make and can ultimately choose 
to live a healthier life.