title: Are interleukin-15 and -22 a new pathogenic factor in pustular palmoplantar psoriasis?
abstract: BACKGROUND
  Pustular palmoplantar psoriasis (PPP) is a rare type of psoriasis affecting mainly distal parts of the limbs. Despite numerous theories about etiology of PPP, the pathogenesis still remains unclear. Recent data indicate that interleukin (IL)-15, IL-17 and IL-22 enhance a proinflammatory response in certain skin inflammatory diseases such as psoriasis and atopic dermatitis. There is also evidence that anti-endomysial (anti-EMA) and anti-gliadin (AGA) antibodies are engaged in PPP development.
  
  
  OBJECTIVE
  To assess IL-15, IL-17, IL-22 serum levels and evaluate the presence of anti-endomysial and anti-gliadin antibodies in patients with PPP.
  
  
  METHODS
  The study group consisted of 20 females of the mean age of 51.8 suffering from PPP. Additionally 29 healthy individuals, age and sex matched, served as controls. ELISA was performed to evaluate serum IL-15, IL-17, IL-22 concentrations while an indirect immunofluorescence test (IIF) was used to determine anti-EMA and AGA presence.
  
  
  RESULTS
  The mean value of IL-15 and IL-22 serum concentrations was significantly higher in the study group than in the control group (IL-15: 6.48 vs. 4.88 pg/ml; IL-22: 81.47 vs. 4.90 pg/ml, respectively;p< 0.05 for all comparisons). The IL-17 serum level in the study group was higher when compared to the control group (2.0 vs. 0.75 pg/ml), however the results were not statistically significant (p= 0.26). There were no anti-EMA and AGA antibodies detected, both in the control and study group.
  
  
  CONCLUSIONS
  The results obtained may suggest involvement of IL-15 and IL-22 in the pathogenesis of PPP.
authors.affiliation: Department of Dermatology, Medical University of Lodz, Lodz, Poland.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Lesiak
authors.affiliation: Student Research Group at the Department of Dermatology, Medical University of Lodz, Lodz, Poland.
authors.forename: Igor
authors.initials: I
authors.lastname: Bednarski
authors.affiliation: Student Research Group at the Department of Dermatology, Medical University of Lodz, Lodz, Poland.
authors.forename: Marta
authors.initials: M
authors.lastname: Pałczyńska
authors.affiliation: Student Research Group at the Department of Dermatology, Medical University of Lodz, Lodz, Poland.
authors.forename: Ewelina
authors.initials: E
authors.lastname: Kumiszcza
authors.affiliation: Department of Dermatology, Medical University of Lodz, Lodz, Poland.
authors.forename: Marzena
authors.initials: M
authors.lastname: Kraska-Gacka
authors.affiliation: Department of Dermatology, Medical University of Lodz, Lodz, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Woźniacka
authors.affiliation: Department of Dermatology, Medical University of Lodz, Lodz, Poland.
authors.forename: Joanna
authors.initials: J
authors.lastname: Narbutt
keywords: anti-endomysial antibodies; anti-gliadin antibodies; interleukin 15; interleukin 17; interleukin 22; pustular palmoplantar psoriasis