title: A case of psoriasis accompanied by arthritis after delivery.
abstract: Psoriasis and psoriatic arthritis are chronic inflammatory diseases of the skin and joints, but the relationship between them has not been fully understood. Since the delay of treatment for psoriatic arthritis can result in the severe deformities, it is important to identify the pathological triggers of the arthritis. On the other hand, many reports suggest that the changes of immune balance during pre/postpartum period are associated with the state of autoimmune diseases. Here, we report a female case with psoriasis whose arthritis may be triggered by the delivery. Our report suggests that immune tolerance may diminish in the postpartum period, which may alter the susceptibility to arthritis. Female patients should be followed-up carefully during postpartum period against the development of arthritis.
authors.affiliation: Department of Dermatology and Plastic Surgery, Faculty of Life Sciences, Kumamoto University.
authors.forename: Hisashi
authors.initials: H
authors.lastname: Kanemaru
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Jinnin
authors.forename: Kae
authors.initials: K
authors.lastname: Asao
authors.forename: Asako
authors.initials: A
authors.lastname: Ichihara
authors.forename: Katsunari
authors.initials: K
authors.lastname: Makino
authors.forename: Ikko
authors.initials: I
authors.lastname: Kajihara
authors.forename: Akihiko
authors.initials: A
authors.lastname: Fujisawa
authors.forename: Satoshi
authors.initials: S
authors.lastname: Fukushima
authors.forename: Hironobu
authors.initials: H
authors.lastname: Ihn
mesh_terms: D000328:Adult; D000911:Antibodies, Monoclonal / Q000627:therapeutic use*; D015535:Arthritis, Psoriatic / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D002097:C-Reactive Protein / Q000378:metabolism; D005260:Female; D006652:Histological Techniques; D006801:Humans; D000069285:Infliximab; D007564:Japan; D007958:Leukocyte Count; D011181:Postnatal Care / Q000379:methods*; D011565:Psoriasis / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D011877:Radionuclide Imaging; D013669:Technetium Tc 99m Medronate; D016896:Treatment Outcome
chemical_list: D000911:Antibodies, Monoclonal; D002097:C-Reactive Protein; D000069285:Infliximab; D013669:Technetium Tc 99m Medronate