1. Clinical Features, Etiologic Factors, Associated Disorders, and Treatment of Palmoplantar Pustulosis: The Mayo Clinic Experience, 1996-2013.
- Author
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Olazagasti JM, Ma JE, and Wetter DA
- Subjects
- Acquired Hyperostosis Syndrome epidemiology, Administration, Topical, Adrenal Cortex Hormones administration & dosage, Adult, Age of Onset, Comorbidity, Diabetes Mellitus, Type 2 epidemiology, Female, Focal Infection complications, Food Hypersensitivity epidemiology, Glutens adverse effects, Glutens immunology, Humans, Male, Middle Aged, Minnesota epidemiology, Phototherapy, Retrospective Studies, Sex Distribution, Smoking adverse effects, Stress, Psychological complications, Thyroid Diseases epidemiology, Tumor Necrosis Factor-alpha therapeutic use, Young Adult, Focal Infection epidemiology, Psoriasis diagnosis, Psoriasis epidemiology, Psoriasis etiology, Psoriasis therapy, Smoking epidemiology, Stress, Psychological epidemiology, Tumor Necrosis Factor-alpha adverse effects
- Abstract
Objective: To further characterize clinical characteristics, etiologic factors, associated disorders, and treatment of palmoplantar pustulosis (PPP)., Patients and Methods: We conducted a retrospective review of patients with PPP at Mayo Clinic between January 1, 1996, and December 31, 2013., Results: Of 215 patients with PPP identified, 179 (83%) were female, and the mean age at onset was 45.3 years. Most patients (n=165, 77%) were current or former smokers. At diagnosis, 15 patients (7%) had an anxiety diagnosis and 9 (4%) had an infection. Nineteen cases (9%) were drug induced. Comorbid conditions included thyroid disease in 18 patients (8%), gluten sensitivity in 3 (1%), and type 2 diabetes mellitus in 21 (10%). In all, 194 patients (90%) received topical corticosteroids, 55 (26%) received phototherapy, and 54 (25%) received systemic agents., Conclusion: More than three-fourths of the patients in this study had a history of smoking, which is considered a triggering or aggravating factor for PPP. Regarding comorbid conditions, gluten sensitivity and thyroid disease were found less frequently than previously reported in the literature. Treatment regimens and responses in this cohort varied considerably., (Copyright © 2017 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.)
- Published
- 2017
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