Full Access
Psoriasis exacerbated by hypoparathyroidism with hypocalcæmia
GUNVER RISUM,
GUNVER RISUM
Department of Dermatology, The Finseninstitute, Copenhagen, Denmark
Search for more papers by this authorGUNVER RISUM,
GUNVER RISUM
Department of Dermatology, The Finseninstitute, Copenhagen, Denmark
Search for more papers by this authorSUMMARY
A case of untreated primary hypoparathyroidism with psoriasis vulgaris is reported. On systemic prednisone therapy the patient developed generalized erythroderma, pustular psoriasis of the soles, candidiasis of the mouth, dermatogenic enteropathy and manifest tetany. Correction of the serum calcium improved the severe skin lesions, emphasizing that fluctuations in serum calcixim affect psoriasis.
REFERENCES
- Baker, H. & Ryan, T.J. (1968) Generalized pustular psoriasis, a clinical and epidemiological study of 104 cases. British Journal of Dermatology, 80, 771.
- Beek, C.H. (1951) On impetigo herpetiformis. Dermatologica, 102, 145.
- Bronsky, D., Fushner, D.S., Dubin, A. & Snapper, I. (1958) Idiopathic hypoparathyroidism and pseudo-hypoparathyroidism. Case reports and review of the literature. Medicine, 37, 317.
- Christiansen, C, Kristensen, M. & Rødbro, P. (1972) Latent osteomalacia in epileptic patients on anticonvulsants. British Medical Journal, 3, 738.
- Clarke, D.M. (1969) Chronic candidiasis of the nails, hypoparathyroidism and Addison's disease. Australian Journal of Dermatology, 10, 185.
- Copeman, P.W.M. & Bold, A.M. (1965) Generalized pustular psoriasis (von Zumbusch) with episodic hypocalcaemia. Proceedings of the Royal Society of Medicine, 58, 425.
-
Dent, C.E. &
Garrets, M. (1960) Skin changes in hypocalcaemia.
Lancet, i, 142.
10.1016/S0140-6736(60)90058-1 Google Scholar
- Eliel, L.P., Thomsen, C. & Chanes, R. (1965) Antagonism between parathyroid extract and adrenal cortica steroids in man. Journal of Clinical Endocrinology, 25, 457.
- Ferriman, D.G. (1953) Hypoparathyroidism complicated by impetigo herpetiformis. Proceedings of the Royal Society of Medicine, 46, 305.
-
Friedmann, M. (1932) Ein Fall von Impetigo herpetiformis.
Archives of Dermatology, 165, 457.
10.1007/BF02062303 Google Scholar
- Garrets, M. (1961) Psoriasiform dermatosis associated with bizarre metabolic abnormalities. Proceedings of the Royal Society of Medicine, 54, 220.
- Harell-Steinberg, A., Ziprkowski, L., Haim, S., Gafni, J. & Levin, M. (1957) Observations on hypoparathyroidism. I. Exfoliative dermatitis as the presenting sign of hypoparathyroidism. A case report. Journal of Clinical Endocrinology, 17, 1094.
-
Kaposi, M. (1887) Impetigo herpetiformis.
Archiv für Dermatologie und Syphilis, 14, 273.
10.1007/BF01940486 Google Scholar
- Kenny, F.M. & Holliday, M.A. (1964) Hypoparathyroidism, moniliasis, Addison's and Hashimoto's diseases. New England Journal of Medicine, 271, 708.
-
Kyrle, J. (1926) Demonstration von Unachrombildern einiger seltener Hautkrankheiten (Impetigo herpetiformis, Erythrodermia desquamativa).
Archives of Dermatology, 151, 431.
10.1007/BF01829659 Google Scholar
- Lachmann, A. (1941) Hypoparathyroidism in Denmark. Acta medica scandinavica, Suppl. 121.
- Landrv, M. & Muller, S.A. (1972) Generalized pustular psoriasis. Archives of Dermatology, 105, 711.
- Lachmann, A. (1941) Hypoparathyroidism in Denmark. Acta medica scandinavica, Suppl. 121.
- Landry, M. & Muller, S.A. (1972) Generalized pustular psoriasis. Archives of Dermatology, 105, 711.
- Laymon, C.W. & Zelickson, A. (1959) Pseudohypoparathyroidism. Archives of Dermatology, 79, 194.
-
Lutz, W. (1935) Zur Kenntnis der Impetigo herpetiformis.
Dermatologische Zeitschrift, 53, 384.
10.1159/000252316 Google Scholar
- Montgomery, P.R. (1964) Psoriasis in association with hypocalcaemia. Proceedings of the Royal Society of Medicine, 57, 1128.
- Nally, F.F. (1970) Idiopathic juvenile hypoparathyroidism with superficial moniliasis. Oral Surgery, 30, 356.
-
Plügge, H. (1938) Zur Symptomatologie der Tetanie.
Deutsche medizinsche Wochenschrift, 64, 521.
10.1055/s-0028-1122138 Google Scholar
- Sanitoria, G. (1971) Chronic latent tetany. Quarterly Journal of Medicine, 20, 44.
- Schmidt-La Baume-Mannheim. (1936) Zur ätiologischen Therapie der Impetigo herpetiformis (I.h.). Dermatologische Wochenschrift, 103, 1245.
- Shuster, S. & Marks, J. (1970) Systemic Effects of Skin Disease. William Heinemann, London .
- Simpson, J.A. (1954) Dermatological changes in hypocalcamia. British Journal of Dermatology, 66, I.
- Thorpe, E.S. & Handley, H.E. (1929) Chronic tetany and chronic mycelial stomatitis in a child aged 4 1/2 years. American Journal of the Diseases of Children, 38, 328.
- Vickers, H.R. & Sneddon, I.B. (1963) Psoriasis and hypoparathyroidism. British Journal of Dermatology, 75, 419.
- Winterstein, O. (1935) Seltene formen der postoperativen Tetanie. Deutsche Zeitschrift für Chirurgie, 244, 237.
