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Psoriasis is a chronic, relapsing, inflammatory, papulosquamous skin disease. Its prevalence in different populations varies from 0.1%-11.8%.1 Hair restoration surgery in psoriatic skin is challenging and, to date, there are no prospective studies existing on this topic. Most surgeons defer surgical procedures on active psoriatic skin because they would like to avoid incising the affected skin for fear of aggravating the psoriatic lesions (Koebnerization) with subsequent poor wound healing and increased wound infection due to the colonization of Staphylococcus aureus in many psoriatic lesions.2 There are many studies in orthopedic and podiatric literatures regarding surgical procedures such as hip or knee joint replacement, osteotomies, arthroplasties, and joint manipulation with psoriatic arthritis.9-13 To the best of our knowledge, this is the first report where hair transplantation was performed in 7 cases of psoriasis.

Should hair transplantation be performed in psoriasis?