To the Editor.—
In reply to Drs Nowlin and Solomon (Archives 112:1465, 1976), I wish to draw their attention to a report1 describing the remission of three cases of pustulosis palmaris et plantaris after intestinal shunt surgery for obesity. The relation of pustulosis palmaris et plantaris to psoriasis is still controversial; however, in case 1 the authors describe "previous rubrosquamous lesions on the elbows" that were considered "as probable psoriasis" that coexisted with the obesity and the pustulosis palmaris et plantaris.
Rosenberg FW. Weight Loss and Psoriasis. Arch Dermatol. 1977;113(9):1297. doi:10.1001/archderm.1977.01640090145033