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But certain fruits can cause or worsen reflux, especially highly acidic fruits

Causes and Risk Factors Genetics is an important contributor in up to 90% of cases, with a variant gene HLA-Cw6 conferring the greatest risk There are also many triggers including injury, sunburn, infection, obesity, certain medications, emotional stress, alcohol, and tobacco Signs and Symptoms While psoriasis can appear anywhere on the skin, it most often affects the elbows, knees, scalp, lower back, and genitals

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