A Case Report of Improved Palmoplantar Pustulosis following Periodontal Treatment and Possible Association with Diminished Systemic Subclinical Inflammation

Palmoplantar pustulosis (PPP) is a recurrent pustular dermatosis located on the palms and soles. Focal infection may exacerbate the symptoms of PPP, but the etiology is not fully clear. A 56-year-old woman with PPP was diagnosed with severe chronic periodontitis. Initial treatment for periodontitis...

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Main Authors: Akiko Yamashita, Tomomi Sano, Misaki Iwashita, Fusanori Nishimura
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2021/5548760
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author Akiko Yamashita
Tomomi Sano
Misaki Iwashita
Fusanori Nishimura
author_facet Akiko Yamashita
Tomomi Sano
Misaki Iwashita
Fusanori Nishimura
author_sort Akiko Yamashita
collection DOAJ
description Palmoplantar pustulosis (PPP) is a recurrent pustular dermatosis located on the palms and soles. Focal infection may exacerbate the symptoms of PPP, but the etiology is not fully clear. A 56-year-old woman with PPP was diagnosed with severe chronic periodontitis. Initial treatment for periodontitis combined with topical application of antibiotics and surgical treatment was performed. In this case, attention was paid to the relevance of systemic inflammation caused by periodontitis with the clinical symptoms of PPP. With periodontal treatment, the symptoms of PPP and periodontitis, high-sensitivity C-reactive protein (hs-CRP) level, and periodontal inflamed surface area (PISA) improved. This case highlights the importance of comprehensive dental examinations, including those for oral infections, such as periodontitis and other unrecognized sources of infection, and dental treatment in the overall management of PPP.
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institution Kabale University
issn 2090-6463
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language English
publishDate 2021-01-01
publisher Wiley
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series Case Reports in Dermatological Medicine
spelling doaj-art-b2e00dc17e8e4cb097c7b9ed44899c4c2025-02-03T01:27:19ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712021-01-01202110.1155/2021/55487605548760A Case Report of Improved Palmoplantar Pustulosis following Periodontal Treatment and Possible Association with Diminished Systemic Subclinical InflammationAkiko Yamashita0Tomomi Sano1Misaki Iwashita2Fusanori Nishimura3Department of Periodontology, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka, JapanDepartment of Cell Biology and Pharmacology, Faculty of Dental Science, Kyushu University, Fukuoka, JapanDepartment of Periodontology, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka, JapanDepartment of Periodontology, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka, JapanPalmoplantar pustulosis (PPP) is a recurrent pustular dermatosis located on the palms and soles. Focal infection may exacerbate the symptoms of PPP, but the etiology is not fully clear. A 56-year-old woman with PPP was diagnosed with severe chronic periodontitis. Initial treatment for periodontitis combined with topical application of antibiotics and surgical treatment was performed. In this case, attention was paid to the relevance of systemic inflammation caused by periodontitis with the clinical symptoms of PPP. With periodontal treatment, the symptoms of PPP and periodontitis, high-sensitivity C-reactive protein (hs-CRP) level, and periodontal inflamed surface area (PISA) improved. This case highlights the importance of comprehensive dental examinations, including those for oral infections, such as periodontitis and other unrecognized sources of infection, and dental treatment in the overall management of PPP.http://dx.doi.org/10.1155/2021/5548760
spellingShingle Akiko Yamashita
Tomomi Sano
Misaki Iwashita
Fusanori Nishimura
A Case Report of Improved Palmoplantar Pustulosis following Periodontal Treatment and Possible Association with Diminished Systemic Subclinical Inflammation
Case Reports in Dermatological Medicine
title A Case Report of Improved Palmoplantar Pustulosis following Periodontal Treatment and Possible Association with Diminished Systemic Subclinical Inflammation
title_full A Case Report of Improved Palmoplantar Pustulosis following Periodontal Treatment and Possible Association with Diminished Systemic Subclinical Inflammation
title_fullStr A Case Report of Improved Palmoplantar Pustulosis following Periodontal Treatment and Possible Association with Diminished Systemic Subclinical Inflammation
title_full_unstemmed A Case Report of Improved Palmoplantar Pustulosis following Periodontal Treatment and Possible Association with Diminished Systemic Subclinical Inflammation
title_short A Case Report of Improved Palmoplantar Pustulosis following Periodontal Treatment and Possible Association with Diminished Systemic Subclinical Inflammation
title_sort case report of improved palmoplantar pustulosis following periodontal treatment and possible association with diminished systemic subclinical inflammation
url http://dx.doi.org/10.1155/2021/5548760
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