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Remission of Pustular Psoriasis after Cholecystectomy: Role of Focal Infection in Pustularization of Psoriasis
Author(s) -
Nomura Kumiko,
Mizutani Hitoshi,
Inachi Shin,
Shimizu Masayuki
Publication year - 1995
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.1995.tb03355.x
Subject(s) - psoriasis , dermatology , medicine , pustular psoriasis , generalized pustular psoriasis , cholecystectomy , surgery
We report an 81‐year‐old male with long lasting psoriasis with exacerbation who showed remission of skin lesions after cholecystectomy. He consulted our clinic for impetiginous skin lesions and was treated with oral antibiotics without improvement. Several days later, he developed right hypochondralgia and was diagnosed with acute cholecystitis with gallstones. After cholecystectomy, the skin lesions significantly improved and disappeared within three weeks. Laboratory examination data indicated that acute inflammatory parameters normalized simultaneously. Although the role of focal infection in psoriasis is obscure, our case emphasizes the importance of focal infection in the pathogenesis of unstable psoriasis.