Rapid Remission of Psoriasis After Sleeve Gastrectomy
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Abstract
Psoriasis is a multifactorial, inflammatory chronic skin condition affecting 1–3 % of the population worldwide. Obesity is more common in patients with psoriasis. Psoriasis and obesity are linked via a mechanism of chronic inflammation. There are reports on improvement of psoriasis after obesity surgery. Role of sleeve gastrectomy in psoriasis improvement is not fully elucidated yet. In this article, we describe two obese patients with psoriasis who had improvement of their skin lesions 1 month after sleeve gastrectomy. To our knowledge, this is the first report of psoriasis remission after sleeve gastrectomy in current medical literature.

Case :
A 49-year-old female patient presented to our obesity outpatient clinic with complaint of inability to lose weight despite diet attempts. Her body mass index was 66.2 kg/m2, and she had diabetes, hypertension, obstructive sleep apnea, psoriasis, and psoriatic arthritis. The patient was on etanercept, sulphasalazine, diclofenac sodium, valsartan, and insulin. Her blood work was normal except elevated serum lipids. She reported that she was obese and had psoriasis since childhood. Her lesions were mainly on her extremities (Fig. 1), but she reported she also had lesions on torso before she started using etanercept. The patient underwent a successful laparoscopic tight SG using 36F bougie......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4848234/
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