Our findings seem to indicate that stress may be related to exacerbation of the palmoplantar pustulosis.

No abstract

Cutaneous diseases are often found in obese patients but, to our knowledge, mucinous disorders have not been previously reported in association with obesity. Two cases of localized lichen myxoedematosus (papular mucinosis) in two women with morbid obesity are described. Both patients underwent a low-calorie diet for a 1-year period in one case, and for 4 months in the other one, as the only treatment. There was complete resolution of cutaneous lesions at the same time that an important weight loss was observed. Nevertheless, although spontaneous regression is not frequent, it could not be disregarded in either of these two cases.

Porokeratosis usually occurs on the trunk or the extremities, and facial lesions are rare; in a review of 165 000 consecutive biopsy specimens, some authors found only seven patients with facial porokeratosis. 9 We also emphasize the clinical appearance of these lesions, which may easily be misdiagnosed if not examined correctly. As a consequence of misdiagnosis, the prevalence of these lesions is probably greater than at presently estimated.