Internal and Emergency Medicine

, Volume 13, Issue 6, pp 889–892 | Cite as

A mysterious abdominal pain during active psoriasis

  • Valentina Della Valle
  • Marco Maggioni
  • Carlo Carrera
  • Angelo Cattaneo
  • Angelo Valerio Marzano
  • Giovanni DamianiEmail author

Case presentation

Dr. Damiani and Dr. Della Valle

A 48-year-old woman was admitted to the dermatology department because of erythroderma and psoriasis vulgaris. This patient presented also asthenic, myalgic with 38 °C fever and shivering.

Clinical history and physical examination

Dr. Carrera and Dr. Damiani

The Medical history was characterized by 17 years of psoriasis and psoriatic arthritis with recurrent sudden flares of generalized pustular eruptions, heralded a few days before by systemic symptoms such as fever, epigastric tenderness, vomiting, and occasionally jaundice. Systemic symptoms attenuated when psoriasis therapies were introduced. These symptoms were previously interpreted as related to gastroesophageal reflux that was detected by upper endoscopy, and subsequently treated, and viral gastroenteritis. In each reactivation, hepatitis viruses A, B, C, EBV and HIV were excluded because of blood cultures and negative serology. Urine cultures were negative too. She displayed...


Psoriasis Generalized pustular psoriasis Autoinflammation Skin 


Compliance with ethical standards

Conflict of interest

Authors declare that they have no conflict of interests.

Statement of human and animal rights

All procedures performed in the present study involving human being were in accordance with the ethical standards of institutional and national research committee and with 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the patient.


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Copyright information

© SIMI 2017

Authors and Affiliations

  • Valentina Della Valle
    • 1
  • Marco Maggioni
    • 2
  • Carlo Carrera
    • 1
  • Angelo Cattaneo
    • 1
  • Angelo Valerio Marzano
    • 1
  • Giovanni Damiani
    • 1
    Email author
  1. 1.Dipartimento di Fisiopatologia Medico-Chirurgica E dei Trapianti, Università degli Studi di Milano, Unità Operativa di DermatologiaIRCCS Fondazione Ca’ Granda, Ospedale maggiore PoliclinicoMilanItaly
  2. 2.Pathology, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico MilanoMilanItaly

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