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  Indian J Med Microbiol
 

Figure 1: (a) Baseline patient condition characterized by a severe plaque-type psoriasis mainly affecting trunk and lower extremities (psoriasis area and severity index score: 28.5). (b) Clinical condition after 12 weeks of adalimumab treatment (psoriasis area and severity index score: 13.6). (c) Clinical condition 4 months after bariatric surgery (psoriasis area and severity index score: 15.6). At that time, adalimumab was restarted for 2 months. (d) Clinical condition 17 months after bariatric surgery (psoriasis area and severity index score: 5.3). Note, the significant clinical improvement of psoriasis following progressive weight loss of 46 kg with concomitant adalimumab treatment

Figure 1: (a) Baseline patient condition characterized by a severe plaque-type psoriasis mainly affecting trunk and lower extremities (psoriasis area and severity index score: 28.5). (b) Clinical condition after 12 weeks of adalimumab treatment (psoriasis area and severity index score: 13.6). (c) Clinical condition 4 months after bariatric surgery (psoriasis area and severity index score: 15.6). At that time, adalimumab was restarted for 2 months. (d) Clinical condition 17 months after bariatric surgery (psoriasis area and severity index score: 5.3). Note, the significant clinical improvement of psoriasis following progressive weight loss of 46 kg with concomitant adalimumab treatment