A Case of Remitting Psoriasis in Association with Hyperthyroidism in a Morbidly Obese Iraqi Female

¹Novel Psychoactive substances unit, University of Hertfordshire Doctoral College, Hertfordshire University, UK.
²Department of Anatomy and Cellular Biology, college of Medicine, University of Baghdad, Iraq.

Corresponding Author: Ahmed Al-Imam, Novel Psychoactive substances unit, University of Hertfordshire Doctoral College, Hertfordshire University, UK, Tel: +44 (0) 7482 571679; E-Mail: [email protected]

Received Date: 24 Mar 2017   

Accepted Date: 19 May 2017   

Published Date: 20 May 2017

Copyright © 2017 Al-Imam A

Citation: Al-Imam A. (2017). A Case of Remitting Psoriasis in Association with Hyperthyroidism in a Morbidly Obese Iraqi Female. Mathews J  Dermatol. 2(1): 012.

ABSTRACT

Psoriasis is a very common Papulosquamous dermatosis; its manifestations are not limited to the skin; other bodily systems can also be involved. It mainly occurs with bimodal peaks of age distribution. This condition can be highly variable in severity, with an indirect effect on the quality of life and the psychiatric health.

Case Presentation: An Iraqi female patient and a medical student, nineteen years old, diagnosed with a mild chronic plaque psoriasis. The patient is morbidly obese with a 53.7 Body Mass Index. Her psoriatic condition was triggered by a stressful event four years ago, it became bilateral and localised to the feet, knees, and the scalp. She was also on Propranolol tablets as a treatment for her palpitation, for which she self-medicated against her physician many warnings. Later, she was diagnosed with hyperthyroidism and was selectively treated surgically; this surgical decision was justified by the severity of manifestations of illness, failure of medicinal (conservative) treatment, and the biochemical profile (thyroid function test). This surgery was a success, her endocrine system was back to normality, and she did not need to take Propranolol. Moreover, within one month, her psoriatic plaques resolved spontaneously and gradually towards full remission, and she was no longer in need of any psoriasis treatment.

Conclusion: The patient has an existing triggering mechanism of her psoriasis, including: psychologic, endocrine, cardiovascular, and a medicinal trigger. To the best of the authors knowledge, this is the first case report to be published, in which a spontaneous, full remission of chronic plaque psoriasis, has occurred following a subtotal thyroidectomy and withdrawal of a medicinal trigger of psoriasis. This particular report will also explore the related concept of Climatotherapy.

KEYWORDS

Psoriasis; Papulosquamous Disorders; Koebner phenomenon; Hyperthyroidism; Post-Traumatic Stress Disorders; Morbid Obesity; Propranolol; Inderal; Climatotherapy; Caspian Sea.