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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Psoriasis and the effect of prosthetic fitting
M Heim1, M Warshavski, I Siev-Ner
1Department of Orthopaedic Rehabilitation, Sheba Medical Center, Tel Hashomer Hospital, Israel.
Prosthetics and Orthotics International
|June 19, 2003
Summary
This study explores limb amputation outcomes in patients with psoriasis, noting successful prosthesis use and ambulation despite potential complications. Unexpectedly, Koebner
Area of Science:
- Dermatology and Orthopedics
- Surgical Case Studies
Background:
- Psoriasis is a chronic inflammatory skin condition.
- Limb amputation is a significant surgical procedure.
- Koebner's phenomenon is a characteristic of psoriasis where lesions appear at sites of trauma.
Observation:
- Two patients with a history of psoriasis underwent limb amputation.
- One patient had pre-existing psoriasis; the other developed psoriatic lesions post-surgery.
- Both patients received prosthetic limbs and achieved ambulation.
Findings:
- Despite the expectation of Koebner's phenomenon causing complications, patients ambulated successfully.
- Cutaneous complications of psoriasis did not impede prosthetic use or mobility.
Implications:
- This case series suggests that psoriasis, even with potential Koebnerization, may not preclude successful prosthetic rehabilitation after amputation.
- Further research is warranted to understand the long-term impact of psoriasis on prosthetic users.
