Rationale: * Psoriasis is a chronic immune-mediated inflammatory skin disorder where T cells play a fundamental role in its pathogenesis. * Low molecular weight heparin has been reported to exert immunomodulatory effect at small doses through inhibition of T cells heparinase enzyme. * Low molecular weight heparin may have promising results for treatment of psoriasis. Research question: * Can low molecular weight heparin be used safely for treatment of psoriasis with good outcome? * Is enoxaparin inhibitory effect on T cell heparinase enzyme responsible for its beneficial effect? Hypothesis: * Low molecular weight heparin can achieve good results when used at small doses for treatment of psoriasis. * Heparin can exert immunomodulatory effect in psoriasis through inhibition of T cell heparinase enzyme. AIM OF WORK -The aim of this work is to assess the possible clinical efficacy and safety of low-dose enoxaparin in the treatment of psoriasis and to detect if inhibition of heparinase enzyme might account for its beneficial therapeutic effect. Objectives: * To evaluate safety and efficacy of low molecular weight heparin at small dose for treatment of psoriasis. * Contribute to the ongoing efforts to optimize psoriasis management and improve the lives of individuals affected by this chronic condition.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Selected patients will receive subcutaneous low dose enoxaparin once a week for 6 weeks.The level of serum heparinase enzyme will be measured before and after treatment
Psoriatic Area and Severity Index score
The studied patients will be clinically evaluated weekly for 6 weeks and at follow up period; biweekly for 6 weeks
Time frame: weekly for 6 weeks and at follow up period of 6 weeks
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