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Psoriasis Remission after Laparoscopic Roux-En-Y Gastric Bypass for Morbid Obesity
Authors:Guillermo Higa-Sansone  Samuel Szomstein  Flavia Soto  Oscar Brasecsco  Carlos Cohen  Raul J Rosenthal
Institution:(1) The Bariatric Institute, Cleveland Clinic Florida, Weston, FL, USA;(2) The Bariatric Institute, Cleveland Clinic Florida, Weston, FL, USA;(3) The Bariatric Institute, Cleveland Clinic Florida, Weston, FL, USA;(4) The Bariatric Institute, Cleveland Clinic Florida, Weston, FL, USA;(5) Department of Dermatology, Cleveland Clinic Florida, Weston, FL, USA;(6) The Bariatric Institute, Cleveland Clinic Florida, Weston, FL, USA
Abstract:Background: Psoriasis is a chronic skin disease characterized by epithelial hyperplasia and an accelerated rate of epithelial turnover affecting approximately 1-3% of the population. Exogenous and endogenous factors including morbid obesity can increase the morbidity of psoriasis. Case Report: A 55-year-old male, who weighed 131 kg with BMI 41 kg/m2, underwent laparoscopic Roux-en-Y gastric bypass (LRYGBP). He had a 15-year duration of severe psoriasis and was being medically treated. At 12 months after LRYGBP, he had lost 39 kg (68% EWL), and had complete resolution of the psoriasis and had discontinued all preoperative medications related to the disease. At 2 years after LRYGBP, psoriasis has not recurred. Conclusion: Weight loss after LRYGBP should be considered as a strategy in the treatment of severe psoriasis in morbidly obese patients.
Keywords:PSORIASIS  MORBID OBESITY  LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS
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