There has been little investigation into the role of stress in PPP, but in one small study (Saez-Rodriguez 2002 ) anxiety scores were found to be higher in patients with PPP than in control patients. The authors suggested that stress and the worsening of PPP may be related. According to this study most autoimmune diseases are triggered by a major stressor. In fact, 80% of people report uncommon emotional stress before disease onset.
At the time I was diagnosed with PPP I went through a really stressful time in my life. I was working full time in a very stressful and negative environment, as well as being a mother, taking care of a toddler, and I didn't sleep well. I remember back than waking up in the mornings with an abnormal high pulse and having pains in my heart terrified with fear what the day would bring. Not a very good place to be in if you ask me. I silly enough choose to ignore all this and the signs my body was sending me. I know for sure that stress was one of my triggers to onset PPP . At the time I wasn't eating properly which meant my immune system wasn't functioning at the level it should. I had also been on several antibiotic courses due to repetitive strep throat infections.
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1 . Why is it so difficult to diagnose Palmoplantar Pustulosis?