Palmoplantar Pustulosis and Allergies: A Systematic Review
Background: In 2007 the International Psoriasis Council considered palmoplantar pustulosis (PPP) a condition separate from psoriasis, and several authors maintain that PPP is a reactive process to metal contact allergies independent from psoriasis. Objectives: To evaluate the frequency of allergi...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Mattioli1885
2019-04-01
|
| Series: | Dermatology Practical & Conceptual |
| Subjects: | |
| Online Access: | http://dpcj.org/index.php/dpc/article/view/582 |
| _version_ | 1819292358153338880 |
|---|---|
| author | Alexandra M.G. Brunasso Vernetti Matteo Puntoni Cesare Massone |
| author_facet | Alexandra M.G. Brunasso Vernetti Matteo Puntoni Cesare Massone |
| author_sort | Alexandra M.G. Brunasso Vernetti |
| collection | DOAJ |
| description | Background: In 2007 the International Psoriasis Council considered palmoplantar pustulosis (PPP) a condition separate from psoriasis, and several authors maintain that PPP is a reactive process to metal contact allergies independent from psoriasis.
Objectives: To evaluate the frequency of allergies and psoriasis in patients with PPP and to determine the role of allergens in PPP.
Methods: A systematic search of the English databases (PubMed and Web of Science) from January 1964 to August 2018 to identify all patients affected by PPP and allergies and/or psoriasis.
Results: In total, 16 publications describing a total of 519 patients with PPP were evaluated and 122 cases of concomitant PPP and metal allergy were found. The frequency of allergies among patients with PPP was 22.7%; between the identified allergens, 84.3% of cases correspond to metal allergies. In 65.1% of metal allergies, an improvement in PPP was seen after withdrawal of contact. The concomitant presence of psoriasis was recorded in 18% of the cases.
Conclusion: There is some evidence to support the association of PPP with metal allergies but also with psoriasis, suggesting the role of metal allergens as a trigger factor in patients with PPP. |
| first_indexed | 2024-12-24T03:53:15Z |
| format | Article |
| id | doaj.art-d022d92cf9914a578993a3e14c878b2a |
| institution | Directory Open Access Journal |
| issn | 2160-9381 |
| language | English |
| last_indexed | 2024-12-24T03:53:15Z |
| publishDate | 2019-04-01 |
| publisher | Mattioli1885 |
| record_format | Article |
| series | Dermatology Practical & Conceptual |
| spelling | doaj.art-d022d92cf9914a578993a3e14c878b2a2022-12-21T17:16:32ZengMattioli1885Dermatology Practical & Conceptual2160-93812019-04-019210.5826/dpc.0902a05Palmoplantar Pustulosis and Allergies: A Systematic ReviewAlexandra M.G. Brunasso Vernetti0Matteo Puntoni1Cesare Massone2Department of Dermatology, Galliera Hospital, Genoa, ItalyUnit of Biostatistics, Scientific Directorate, Galliera Hospital, Genoa, ItalyDepartment of Dermatology, Galliera Hospital, Genoa, ItalyBackground: In 2007 the International Psoriasis Council considered palmoplantar pustulosis (PPP) a condition separate from psoriasis, and several authors maintain that PPP is a reactive process to metal contact allergies independent from psoriasis. Objectives: To evaluate the frequency of allergies and psoriasis in patients with PPP and to determine the role of allergens in PPP. Methods: A systematic search of the English databases (PubMed and Web of Science) from January 1964 to August 2018 to identify all patients affected by PPP and allergies and/or psoriasis. Results: In total, 16 publications describing a total of 519 patients with PPP were evaluated and 122 cases of concomitant PPP and metal allergy were found. The frequency of allergies among patients with PPP was 22.7%; between the identified allergens, 84.3% of cases correspond to metal allergies. In 65.1% of metal allergies, an improvement in PPP was seen after withdrawal of contact. The concomitant presence of psoriasis was recorded in 18% of the cases. Conclusion: There is some evidence to support the association of PPP with metal allergies but also with psoriasis, suggesting the role of metal allergens as a trigger factor in patients with PPP.http://dpcj.org/index.php/dpc/article/view/582palmar plantar pustulosiscontact allergypsoriasismetalsnickelpatch test |
| spellingShingle | Alexandra M.G. Brunasso Vernetti Matteo Puntoni Cesare Massone Palmoplantar Pustulosis and Allergies: A Systematic Review Dermatology Practical & Conceptual palmar plantar pustulosis contact allergy psoriasis metals nickel patch test |
| title | Palmoplantar Pustulosis and Allergies: A Systematic Review |
| title_full | Palmoplantar Pustulosis and Allergies: A Systematic Review |
| title_fullStr | Palmoplantar Pustulosis and Allergies: A Systematic Review |
| title_full_unstemmed | Palmoplantar Pustulosis and Allergies: A Systematic Review |
| title_short | Palmoplantar Pustulosis and Allergies: A Systematic Review |
| title_sort | palmoplantar pustulosis and allergies a systematic review |
| topic | palmar plantar pustulosis contact allergy psoriasis metals nickel patch test |
| url | http://dpcj.org/index.php/dpc/article/view/582 |
| work_keys_str_mv | AT alexandramgbrunassovernetti palmoplantarpustulosisandallergiesasystematicreview AT matteopuntoni palmoplantarpustulosisandallergiesasystematicreview AT cesaremassone palmoplantarpustulosisandallergiesasystematicreview |