To the Editor.—
The LETTER TO THE EDITOR by Nowlin and associates (Arch Dermatol 112:1465, 1976) has prompted us to report the following case.
Report of a Case.—
In 1967, a 44-year-old woman developed plaques covered with slivery scales on her legs, sacrum, and abdomen. This eruption was diagnosed as psoriasis and treated topically with steroids. Later, similar lesions appeared over the scalp, eyelids, cheeks, chest, shoulders, back, groin, and nails. She was hospitalized in 1972 and in 1973, and treated with a modified Goeckerman technique. Excellent but short-lived control of the condition was obtained.In 1974, the patient underwent a jejunoileal bypass for obesity: her weight decreased from 122 to 77 kg after one year, and to 68 kg after two years. Shortly after her surgery, she began to notice improvement of her psoriasis and, of her own accord, discontinued application of her psoriasis medication. This improvement had continued