Prognostic Factors and Long-Term Efficacy of Tonsillectomy in 17 Patients with Pustulotic Arthro-Osteitis

Abstract

In this case study, we aimed to evaluate the disease condition of patients with pustulotic arthro-osteitis(PAO) at 36-month post-tonsillectomy. A retrospective analysis of the cases of 17 patients with PAO whowere resistant to initial systemic treatments and underwent tonsillectomy at our hospital in 2006-2016 wasconducted. The patients' disease condition at 1-, 24-, and 36-month post-tonsillectomy was assessed by thevisual analog scale (VAS) score for osteoarthropathic pain, the disease duration, the area of palmoplantarlesions, and the Palmoplantar Pustular Psoriasis Area Severity Index (ppPASI). In the minimum follow-up of36-month post-tonsillectomy in 17 patients, the median ppPASI and VAS scores decreased from 12 to 1 andfrom 80 to 20, respectively. Thirteen patients with ≥70% improvement in their VAS scores maintained thesame good condition after ≥36 months, whereas four patients with