title: Remission of psoriasis after open gastric bypass.
abstract: Psoriasis is a frequent skin disease, affecting 2% of the world's population. Stress, alcohol, smoking and obesity may be associated with psoriasis. A 56-year-old man with BMI 46.9 kg/m(2), hypertension and gastroesophageal reflux, had severe psoriasis for the last 39 years, without any remission on multiple treatments. Psoriatic papules and plaques were noted on his face, dorsum of hands, buttocks, knees, and elbows. He underwent open Roux-en-Y gastric bypass. At 4-month follow-up, the patient had lost 23 kg or 34.8% of excess weight, and presented complete remission of the psoriasis without medications. Bariatric surgery for positive metabolic, psychological and lifestyle consequences should be considered a treatment of psoriasis. Long-term observation is necessary.
authors.affiliation: Department of Surgery, Escola Bahiana de Medicina, and Bariatric Surgery Division, Hospital São Rafael, Salvador, Bahia, Brazil. dr.ettinger@gmail.com
authors.forename: João Eduardo Marques Tavares
authors.initials: JE
authors.lastname: de Menezes Ettinger
authors.forename: Euler
authors.initials: E
authors.lastname: Azaro
authors.forename: Carlos Alfredo Marcílio
authors.initials: CA
authors.lastname: de Souza
authors.forename: Paulo Vicente
authors.initials: PV
authors.lastname: dos Santos Filho
authors.forename: Carlos Augusto Bastos
authors.initials: CA
authors.lastname: Mello
authors.forename: Murilo
authors.initials: M
authors.lastname: Neves
authors.forename: Paulo Cezar Galvão
authors.initials: PC
authors.lastname: de Amaral
authors.forename: Edvaldo
authors.initials: E
authors.lastname: Fahel
mesh_terms: D015390:Gastric Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011565:Psoriasis / Q000601:surgery* / Q000628:therapy; D012074:Remission Induction