strep throat/ autoimmune/psoriasis?

Hi All! Has anyone ever heard of a connection between chronic strep throat, and it aggravating psoriasis? I saw my Derm today, and happen to have white spots (sorry) all over my tonsils. This was a chronic condition for me in childhood, and now since I've been on Enbrel. Am also on Soriatane. I have severe PPP, and PsA. I can't really blame it on the Enbrel....Anyway, the doctor says that if I got my tonsils out, my psoriasis would improve. Supposedly, the infected tonsils aggravate the psoriasis. Any thoughts on this? Thanks! xx, Binky

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Your Dr could be right. Streptococcus can grow anywhere in the mouth
and throat. And since strep is associated with psoriasis, a simple surgery
to remove tonsils or infected/loose teeth could help control the problem.

Ever since I've developed a tooth root infection, my guttate psoriasis
has gotten worse. Red dots all up and down my left arm and now right elbow .

Right now, I'm on an antibiotic (Augmentin) and so far no new red lesions.

In a few weeks, I'll have the tooth removed and replaced with an implant.
Hopefully this will shrink the psoriatic lesions or at least prevent more of the
guttate from forming.

Thanks for your post. Let us know if your tonsil removal improves your psoriasis.

In my situation, once the dental problem is resolved I will post the results of my
psoriatic condition: better, worse, or no improvement.

BTW: one thing to keep in mind is that strep is only a small part of a variety of
different causes contributing to psoriasis. But at least by removing one of them,
it may prevent more severe outbreaks.

BTW#2: Psoriasis is like type 1 diabetes, in that it is not curable but it is treatable.

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I had a lot of throat problems they had to end up removing my tonsils and adenoids because I would get really bad strep quite frequently. But my dr said it was my psoriasis that was causing the strep. My psoriasis just continues to get worse. So I don't think it is the strep aggravating the p.

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Dear nbvcxz and Rhonda ~ Thankyou both for taking the time to respond to my question. Both theories are interesting ~ does p cause strep throat and other infections, or is it the strep/infection causing the p?? Wish I had an "expert" to tell me, but I guess either way, the tonsils need to come out. The tooth thing is interesting also...since I started dealing with this crummy disease, I've pretty much ignored everything else, including my dentist! Thanks for that info!! And Rhonda? Can i ask how old you were when you had your tonsils out? I'm 57, and have heard the older you are, the worse it is. xx, Binky

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I too had chronic strep throat throughout my life. There is absolutely a link with chronic strep and P. I did have my tonsils removed when I was 35, but my P has not improved whatsoever. I do think if I had them removed as a child, my P would not have ever been an issue. Good luck to you!!

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It is known that strep throats will/can make psoriasis worse as can sinus or any infection.
I am currently 2 weeks back from Marrakech where I was horrifically ill. I have the medical bills to prove it!
I was given some very powerful antibiotics that are not used in the Uk due to the impact they have on the rest of the body.
My psoriasis took a turn for the worst and has not been so bad for 15 years.
Recent bloods show the drugs effect on the liver, some kidney function issues but the worst is the impact of the infection on my white blood cells which has really knocked the already problematic immune system and may have impacted on my bone marrow.
So I am now of the opinion that any infection can and does have a huge impact on psoriasis.
I had my tonsils removed when I was 4 years old before I had psoriasis which started when I was 17. I am now 62 and I have not given up the fight. If all else fails then I whack on the steroid cream and lay on a sunbed for 2 - 4 mins twice a week for 6 weeks. Yep that gives relief for a while.
Over the years I have come to realise that nothing currently available is going to work for an extended period of time, so basically it's make it up as you go along.
Research one day will come up with something to help all P and PA suffers, just hang in there a bit longer.
Jennie UK

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I had toncilitis or strep throat regularly in my late teens, very nearly resulting in having my tonsils removed. At 19 I developed Psoriasis but back in the day the link wasn't known or acknowledged. Looking back it certainly was the start of my life with P for me.

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BlinkyJ, that has to be really painful to know that you tonsils hurt like that. I thought I had it bad, WOW. I will pray that you don't have to get you tonsils taken out and there willl be a different way of handling this. I would think that you would want you tonsils, but I guess if the infection is in that area you might not have a choice. I am on Enbrel and Soriatane too, I love the Enbrel its a life saver, the Soriatane is just a quick help, but its not good for you body in the long run. I also have a Doc that I see that is going through the samething that I am dealing with. So FINALLY the GOOD LORD has blessed me with someone that can help me in other ways besides MED. I will keep praying that you find a way ok.

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Thanks everyone for taking the time to share information. And rland ~ God Bless you for your kindness and prayers....I'm very grateful! xx, Binky

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Strep and upper respiratory infections caused me to have GP breakouts.

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Briefly, here's a possible scenario, step by step with strep:

1. Strep from the throat area travels from the blood stream to an area of the skin
that has even the slightest of damage. For example, scratching at an itch, an abrasion,
a mosquito bite, or even a tattoo. This is known as the Koebner Effect.

2. The inflammation caused by strep then attracts the WBCs that kill off the strep which results in
byproducts of the infection causing a secondary invasion of those WBCs that release cytokines.
This stage is known as the Guttate stage i.e., little red dots in clusters that often coalesce into huge
patches of red/raised skin. This stage is where the autoimmune/allergic phase begins.

3. It is these cytokines that stimulate the skin cells to reproduce at about 10 x the normal rate.
It could be that this is the skin's (although over-reactive) defense mechanism to slough off and rid the
area of infection. The end result is Plaque.

The important thing to remember is that strep is only one of the causes that can set off this cascade
of events. It could be any allergen: from allergens being absorbed from the GI tract, contact with plants,
or even wool socks. Usually these will only produce an allergic reaction such as Atopic Dermatitis, that
is, unless you are genetically predisposed to psoriasis.

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WOW! I think i get it now...thankyou so much, nbvcxz! I really appreciate your knowledge, and your willingness to share it. As much as I HATE the idea, I guess it would make sense to get my tonsils out. And, I better get my fanny to the dentist ASAP! Thanks again!! xx, Binky BTW, I'm 57, and didn't get this until a year ago...started mild, then blew up into severe PPP and PsA, among regular P. I have had tonsil problems all my life though.

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Jenliz, I was in Morocco 40 years ago, got some kind of intense virus or something and my p started with a tiny dot when I was home about 2 weeks. I am utterly convinced that my psoriasis is the result of that virus. I have been to doctors all over the world and it is only in the last year or so that I have learned how dangerous psoriasis as an autoimmune disease actually is.

University of Pennsylvania researchers looked at over 18,000 patients in the United Kingdom, half of whom had psoriasis and half who did not. The researchers found that, as the area of the body affected by psoriasis increased, so did the prevalence of many diseases, such as diabetes, COPD, heart attacks and kidney disease.

"On Wednesday, the University of Pennsylvania School of Medicine stated in a release that patients who had psoriasis had:

…increasingly higher odds of having at least one major medical disease in addition to psoriasis, when compared to patients without psoriasis.”
Also, according to the senior study author Joel Gelfand, MD, MSCE:

As we identify additional diseases linked to psoriasis, patients and physicians need to be aware of the increased odds of serious co-morbid illnesses, which is especially important in severe cases.”
Gelfand is also an associate professor of dermatology and epidemiology at the University of Pennsylvania.

She added that his team’s findings showed:

…complications from diabetes and links to COPD, kidney disease and peptic ulcers, suggesting new areas for research, while for the first time, demonstrating how increasing body surface area affected by psoriasis is directly associated with increasing risk of atherosclerotic disease.”
The researchers suggest that the reason for the correlation may be due to the increased overall inflammation seen with psoriasis.

Previous studies, the researchers noted, have linked psoriasis with diabetes, heart disease and increased risk of premature death. However, their study found even more associated complications, for instance, the higher likelihood of eye disease (retinopathy) and nerve damage in psoriasis patients who also had diabetes.

The researchers pointed out the diseases share a common pathway linked to inflammation and insulin resistance."

I used to think that psoriasis was just crappy skin; recently, I have found out it's far more than that.

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Yes yes yes!!!!

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Dear Psowhatifiscratch ~ Thanks for sharing that information. I was already depressed just dealing with PPP and PsA in my feet and hands, and not being able to really use either. After reading your post, all I want to do now is blow my brains out. Why couldn't God have given me something simple to deal with like cancer? (No offense to anyone dealing with cancer)

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Hi I've been told by 3 specialists that strep throat causes out break of P normally guttate P. I had my tonsils removed when I was 10Yrs old. I've been told also tonsils & strep throat don't go hand in hand. I'm now 43yrs & have always had severe to moderate P. I did have plaque P but prob about 8 or so yrs ago it changed to guttate. Cheers Wissa

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Your hx sounds like mine. If I think I have strep I get on antibiotics ASAP and I ask for something for psoriasis break out. My spots are at a minimum usually but with strep I am covered head to toe. I use light therapy. I spend time out in the sun. I take A&D. I do what is in my power and I am keeping my tonsils. If I am around strep, my daughter used to get it all the time, I remove myself from the infected person and I go on antibiotics.

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My dear BinkyJ, I just have to tell you that CANCER is nothing easy to deal with.

My father died recently of Lung cancer and he suffered everyday & I watched him become someone I no longer recognized and my Mother is having chemo for her 3 bout with leukemia and had surgery from lung as hard as it is to deal with P and all the other things that go along with, I would NOT wish cancer on you or anybody else.

First of all, don't believe everything you read! Just like I don't go on the internet to find answers, causes ,etc. to any medical problems, we would all be DEAD if we believed what it said. Ask your Dr.the questions. I just ask my rheumy the same thing as to why we never discussed other issues associated with P like diabetes, heart disease and the like. Her response was is that I am not overweight, do not have high blood pressure, etc, so my P wouldn't cause diabetes and the like.

I have heard that having your tonsils taken out is not a walk in the park, its pretty major get the facts so you can make the right decision.

Best to you!

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Oh, my Dear Chicago friend ~ Please forgive me for being so insensitive to have said "cancer was easy". I truly didn't mean it, as I watched my mother die of colorectal cancer when she was 53. I was 20 at the time. You're right about not believing everything I read! I just wish people wouldn't post negative, scary stuff, unless it was their PERSONAL experience. I spend alot of my time, like many of us, being scared and in pain. That "study" just put me over the edge that day, and there are times when I do think about ending it all. Again, please forgive me, and I truly hope that your Mother's chemo is successful! xx, Binky

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Hi there I've seen a few posts on different sites about god giving us only what he thinks we can handle. I think he thinks I'm super woman, bat girl, Wonder Woman all wrapped into one somedays. This is all confusing & a lot if days I think it's all too hard but it's taught me to b kind to myself & slow down when my clapped out body says stop. Keep smiling 😃 Wissa

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Dear Wissa ~ LOL, and thanks for sharing and making me smile! xx, Binky

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