A study in Japan found that about 90 percent of patients with a variation of psoriasis known as pustulosis palmaris et plantaris, which produces pustules rather than bumps on the hands and feet, improved after tonsillectomy. The improvement lasted at least five years. In addition, a study in the U.S. of six patients who had IgA nephropathy found that five of them experienced fewer renal symptoms after tonsillectomy. Several larger studies in Japan have confirmed this finding, Dr. Orvidas said.
Tonsillectomy has also been considered as a treatment for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS), but only a few cases in which tonsillectomy helped are documented in the literature as case reports, said David E. Tunkel, MD, director of pediatric otolaryngology at Johns Hopkins University in Baltimore.
PANDAS describes sudden onset of symptoms and signs of obsessive-compulsive disorder, Tourette syndrome and tic disorders following a Group A strep infection. Up to 10 percent of children who have tic disorder or OCD symptoms may have PANDAS, according to Dr. Tunkel. “It seems to be more common in boys,” he said. “The onset of symptoms is abrupt, and group A strep infection precedes the onset or exacerbation of these symptoms. Neurologic abnormalities of movement are seen during these exacerbations.” | ← Previous | | | Next → | Single Page