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 allerg...

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Autores principales: Alexandra M.G. Brunasso Vernetti, Matteo Puntoni, Cesare Massone
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Lenguaje:EN
Publicado: Mattioli1885 2019
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Acceso en línea:https://doaj.org/article/d022d92cf9914a578993a3e14c878b2a
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spelling oai:doaj.org-article:d022d92cf9914a578993a3e14c878b2a2021-11-17T08:29:38ZPalmoplantar Pustulosis and Allergies: A Systematic Review10.5826/dpc.0902a052160-9381https://doaj.org/article/d022d92cf9914a578993a3e14c878b2a2019-04-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/582https://doaj.org/toc/2160-9381 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. Alexandra M.G. Brunasso VernettiMatteo PuntoniCesare MassoneMattioli1885articlepalmar plantar pustulosiscontact allergypsoriasismetalsnickelpatch testDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 9, Iss 2 (2019)
institution DOAJ
collection DOAJ
language EN
topic palmar plantar pustulosis
contact allergy
psoriasis
metals
nickel
patch test
Dermatology
RL1-803
spellingShingle palmar plantar pustulosis
contact allergy
psoriasis
metals
nickel
patch test
Dermatology
RL1-803
Alexandra M.G. Brunasso Vernetti
Matteo Puntoni
Cesare Massone
Palmoplantar Pustulosis and Allergies: A Systematic Review
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.
format article
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
title Palmoplantar Pustulosis and Allergies: A Systematic Review
title_short 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_sort palmoplantar pustulosis and allergies: a systematic review
publisher Mattioli1885
publishDate 2019
url https://doaj.org/article/d022d92cf9914a578993a3e14c878b2a
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