Palmoplantar psoriasis: A phenotypical and clinical review with introduction of a new quality-of-life assessment tool

Farley, Elizabeth M.; Masrour, Shamin; McKey, Joanna; Menter, Alan

doi:10.1016/j.jaad.2008.11.910

Cited by 126 publications

(139 citation statements)

References 45 publications

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“…1) PPP is a chronic, relapsing skin disease characterized by sterile intraepidermal pustules and usually scaly erythematous skin on the palm, soles, or both. 13) The etiology of PPP has not yet been clarified. In addition to metal allergy, many factors, such as tonsillitis, dental complications, and smoking status, have been reported to cause or exacerbate PPP.…”

Section: Discussionmentioning

confidence: 99%

Remission of Palmoplantar Pustulosis after On-Pump Coronary Artery Bypass Grafting in a Patient with Titanium Allergy

Kono

Oda

Akaiwa

et al. 2020

ATCS

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Metal allergy is an uncommon but crucial problem during surgery, which can lead to complicated skin diseases, such as palmoplantar pustulosis (PPP). 1) Among metal allergies, titanium allergy is said to be rare. 2) Here, we describe the rare case of a woman with titanium allergy and PPP who underwent coronary artery bypass grafting (CABG) under cardiopulmonary bypass (CPB) Remission of Palmoplantar Pustulosis after On-Pump Coronary Artery Bypass Grafting in a Patient with Titanium AllergyTakanori Kono, MD, PhD, 1 Takeshi Oda, MD, PhD, 1 Keiichi Akaiwa, MD, PhD, 1 Katsuhiko Nakamura, MD, 1 Kenya Sasaoka, MD, 2 and Hiroyuki Tanaka, MD, PhD 3Metal allergy is an uncommon problem during surgery. Among them, titanium allergy is said to be rare, but can lead to serious complications, such as palmoplantar pustulosis (PPP). A 69-year-old woman was admitted to our hospital with a chief complaint of chest pain. Coronary angiography showed severe coronary artery disease that required coronary artery bypass grafting (CABG). The patient had a history of orthopedic surgery for left distal radius fracture 2 years previously, which resulted in inflammation on the left arm and PPP. We suspected titanium allergy based on results of skin patch tests and use of titanium alloy in the previous orthopedic operation. The patient underwent CABG without use of permanent metallic material. As a result, her PPP disappeared. In this rare case, it is difficult to identify the exact cause of the improvement in PPP; thus, further studies are required to clarify the mechanism of remission.

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Section: Discussionmentioning

confidence: 99%

Remission of Palmoplantar Pustulosis after On-Pump Coronary Artery Bypass Grafting in a Patient with Titanium Allergy

Kono

Oda

Akaiwa

et al. 2020

ATCS

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“…Çalışmamızda fototerapi tercih edilme oranlarının daha az bulunması hatalarımızın ortalama PAŞİ değerlerinin düşüklüğü ile açıklanabilir. Palmoplantar psoriasis konvansiyonel tedavilere çoğunlukla dirençli, hastalarda belirgin morbiditeye neden olan psoriazis tipidir [22]. Tedavide sistemik tedavilere ek olarak lokal PUVA ve lokal DBUVB tedavisi de kullanılmaktadır [23].…”

Section: Discussionunclassified

Clinical and Demographic Characteristics of 626 Patients with Moderate and Severe Psoriasis

Rifaioğlu¹,

Özarmağan²

2014

Ann Clin Anal Med

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ÖzetAmaç: Çalışmamızda İstanbul Üniversitesi İstanbul Tıp Fakültesi Dermatoloji Anabilim Dalı psoriazis polikliniğinde takip edilen orta ve şiddetli psoriazis hastalarının demografik özelliklerini, klinik tiplerini ve kullanılan tedavileri incelemeyi amaçladık. Gereç ve Yöntem: Psoriazis polikliniğinde 2002-2008 yıl-ları arasında izlenen 1831 hasta tarandı, ve içlerinden orta ve şiddetli 626 (%34) olgu retrospektif olarak değerlendirildi. Bulgular: Çalışmamıza katı-lan olguların 305'i (%48.7) kadın, 321'i (%51.3) erkek olarak bulundu. Hastalık başlangıç yaşı 28.1 yıl ve en sık görülen klinik tip plak psoriazis olarak saptandı. Tırnak tutulumu saptanan hastalarda en sık pitting gözlendi. Artriti olan hastalarda tırnak tutulumu görülme sıklığı anlamlı şekilde yüksek bulundu. Ailede psoriazis bulunma öyküsü erken başlangıçlı psoriazis olguların-da daha sık saptandı. Sistemik tedaviler arasında en sık retinoik asit, fototerapi türleri arasında en sık dar bant UVB tedavisi kullanıldığı belirlendi. Tartışma: Orta ve şiddetli psoriazis oranı %34 olarak bulundu. Kadın erkek oranı arasında fark saptanmadı. Başlangıç yaşı 16-25 yaş arası pik yapıyordu. En sık eşlik eden sistemik hastalık diyabetes mellitus olarak bulundu. Çalışmamı-zın bulguları literatür ile uyumlu olarak belirlendi. Sonuç olarak psoriazis toplumun yaklaşık %2'sini etkileyen, komorbiditeleri ile hastaların yaşam kalitesini olumsuz yönde etkileyen, kronik, rekürren inflamatuar bir hastalıktır. Özel-likle şiddetli formları, hastalarda ciddi iş gücü kayıplarına neden olabilmektedir. Çalışmamızın psoriazisin demografik ve klinik özelliklerinin daha iyi anlaşılmasına yardım edecek ileri klinik çalışmalara ışık tutacağına inanıyoruz. Anahtar KelimelerPsoriazis; Sosyodemografi; Klinik Özellikler Abstract Aim: In our study, we aim to investigate the demographic, clinic features and the treatments of patients with moderate to severe psoriasis who were followed in outpatient clinic of psoriasis of Department of Dermatology in Istanbul Medical School of Istanbul University. Material and Method: One thousand eight hundred and thirty-one patients, who were followed between 2002-2008 in outpatient clinic of psoriasis, were screened and 626 (34%) of them, who were moderate and severe, were evaluated retrospectively. Results: Three hundred five of the patients who participated in our study were female and 321 were male. Mean age of onset was 28.1. Most frequently clinical type was plaque psoriasis. Most frequently nail involvement was pitting in patients. Nail involvement was statistically common in arthropathic patients. Family history was statistically common in psoriasis patients with early onset. Retinoid was the most common used systemic drug. Narrow band UVB was the most common used phototherapy. Discussion: Moderate to severe psoriasis rate was 34%. Female to male ratio was close to one another. Peak age of onset of psoriasis was between 16-25 years old. The most common concomitant systemic disease was diabetes mellitus. The findings were consistent with the lite...

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“…Tratamentos sistêmicos para a PPP têm mostrado eficácia limitada quando comparados a outras lesões psoriasiformes 11 . Em adultos, o tratamento inclui fototerapia, fotoquimioterapia e agentes sistêmicos como retinóides, metotrexato, ciclosporina e agentes biológicos, como alefacept, infliximab, adalimumab e efalizumab 5,10,14 . Contudo, estudos sobre o uso prolongado, toxicidade sistêmica e experiência clínica em crianças são limitados e escassos, o que dificulta o uso seguro dessas opções terapêuticas nessa faixa etária 8 .…”

Section: Discussionunclassified

Psoríase pustulosa palmoplantar na infância: um relato de caso

Dantas¹,

Fernandes²,

Júnior³

et al. 2017

Rev Pat Tocantins

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Introdução: A psoríase pustulosa palmoplantar, também conhecida como pustulose palmoplantar (PPP) é uma forma de dermatose psoriasiforme caracterizada por erupções de pústulas estéreis de localização palmoplantar e simétrica. Sua prevalência é estimada entre 0,01 a 0,05%, afetando principalmente adultos do sexo feminino entre a sexta e a sétima décadas de vida. A doença é rara na faixa etária pediátrica. Desenvolvimento: No presente trabalho foi relatado um raro caso de PPP, em criança de 6 anos, destacando seu manejo hospitalar e atentando para sua dificuldade diagnóstica. Conclusão: o diagnóstico de PPP ainda é de difícil realização no Brasil. Isso pode ter relação com o perfil epidemiológico territorial, que levaria primeiramente a diagnósticos de etiologia infecciosa. Consideramos que seja pertinente um aumento do número de estudos sobre a PPP, o que ajudaria no diagnóstico precoce e redução das dificuldades físicas e psicossociais que o paciente enfrenta devido à doença. Palavras-chave: psoríase; criança; dermatopatia. Introduction: The palmoplantar pustular psoriasis, also known as palmoplantar pustulosis (PPP), is a psoriasiform dermatosis characterized by eruptions of sterile pustules with a symmetrical and palmoplantar location. It's prevalence is estimated between 0,01 to 0,05%, mainly affecting female adults in the sixth and seventh decades of life. The disease is rare in the pediatric age. Development: In the present work it was reported a rare case of PPP, in a 6 years old child, highlighting its hospital management and paying attention to the difficulty in diagnosis. Conclusion: the diagnosis of PPP is still difficult to achieve in Brazil. This may have correlation with the territorial epidemiological profile, which would lead primarily to diagnostics of infectious etiology. We consider to be relevant an increase in the number of studies about PPP, which would help with early diagnosis and reduction of the physical and psychosocial difficulties that the patient faces due to the disease. Keywords: psoriasis; child; skin diseases.

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Palmoplantar psoriasis: A phenotypical and clinical review with introduction of a new quality-of-life assessment tool

Cited by 126 publications

References 45 publications

Remission of Palmoplantar Pustulosis after On-Pump Coronary Artery Bypass Grafting in a Patient with Titanium Allergy

Remission of Palmoplantar Pustulosis after On-Pump Coronary Artery Bypass Grafting in a Patient with Titanium Allergy

Clinical and Demographic Characteristics of 626 Patients with Moderate and Severe Psoriasis

Psoríase pustulosa palmoplantar na infância: um relato de caso

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