Result: The mean age was 48.03 ± 14.13 years with the highest rate observed in group of 40 - 59 years old; the ratio of men and women were similar; Stress was the most influential environment factors of disease with 44% patients, drinking alcohol 22.67%, smoking 22.67%, infection 16%, due to the drug 8.67% and Koebner 8.67%; the duration of illness was less than 5 years 63.33%.