A 32 year-old patient has a bi-ventricular insufficiency that had developed over the past 2 months revealed by cardiac symptomatology. Echocardiography revealed bi-ventricular dilated cardiomyopathy. He had skin lesions for three years that were clinically and histologically identified as psoriasis. The association of cardiomyopathy with psoriasis is rare and intriguing and the link between these two entities on a common inflammatory background is discussed.