This contribution presents the case histories of two patients who underwent limb amputation. One patient suffered from psoriasis prior to the surgery and the second developed psoriatic lesions post surgery. Both patients were provided with a prosthesis and despite the multiple cutaneous complications of the psoriasis both patients ambulate. It was expected that Koebner's phenomenon would create hardships but to date this has not happened.
References
1.
BeyerCAHanssenADLewallenDGPittelkowMR. Primary total knee arthroplasty in patients with Psoriasis. J Bone Joint Surg1991; 73B: 258–259
2.
FarberENallML. The natural history of psoriasis in 5600 patients. Dermatologica1974; 148: 1–18
3.
FileTTanJMaseelallESnyderR. Recurrent cellulitis after by-pass surgery associated with psoriasis. JAMA1984; 252: 1681
4.
FitzpatrickTBJohnsonRAPotanoMKSurmondDWolffK. Psoriasis. Section 3. Color Atlas and Synopsis of Clinical Dermatology2nd ed.McGraw-Hill, New York1992; 40–53
5.
HareRCookeEM. Self-contamination of patients with staphylococcal infections. Br Med J1961; 2: 333–336
6.
HickenGJKitaokaHBValenteRM. Foot and ankle surgery in patients with psoriasis. Clin Orthop1994; 300: 201–206
7.
KhanOAWestonVCScammellBE. Methicillin-resistant staphylococcus aureus incidence and outcome in patients with neck of femur fractures. J Hosp Infect2002; 51: 185–188
8.
LambertJRWrightV. Surgery in patients with psoriasis and arthritis. Rheumatol Rehabil1979; 18: 35–37
9.
LynfieldYLOstroffGAbrahamJ. Bacteria, skin sterilisation, and wound healing in psoriasis. NY State J Med1972; 7(11)1247–1250
10.
MarplesRRHeatonCLKlymanAM. Staphylococcus aureus in psoriasis. Arch Dermatol1973; 107: 568–570
11.
MenonTJWroblewskiBM. Charnley low-friction arthroplasty in patients with psoriasis. Clin Orthop1983; 176: 127–128
12.
MomsenOHKijlJ. Dermatome shaving of psoriasis. Scand J Plast Reconst Hand Surg1993; 27: 143–147
13.
NobelWCSarinJA. Carriage of staphylococcus aureus in psoriasis. Br Med J1968; 1: 417
14.
SamadABanerrjeeDCarbarnsNGhoshS. Prevalence of methicillin-resistant staphylococcus aureus colonisation in surgical patients, on admission to a Welsh hospital. J Hosp Infect2002; 51: 43–46
15.
SelwynS. The mechanism and prevention of cross-infection in dermatological wards. J Hyg (Camb)1965; 63: 59–68
16.
SelwynSChalmersD. Dispersal of bacteria from skin lesions: a hospital hazard. Br J Dermatol1965; 77: 349–356
17.
SternSHInsallJNWindsorREInglisAEDinesDM. Total knee arthroplasty in patients with psoriasis. Clin Orthop1989; 248: 108–111
18.
Skin and Connective Tissue. The Merck Manual of Diagnosis and Therapy 10th ed., LyghtCE. Merck, Sharp & Dohme, Philadelphia1961; 1472–1474
