Tonsillectomy as a Guttate Psoriasis Treatment

Hi all, My first guttate psoriasis flare-up occurred towards the end of 2021, shortly after a particularly sore throat- possibly the most painful one I’ve ever had. After joining this forum, I made a plan to ditch steroid creams in favour of natural skincare, reset my diet and take supplements and (starting April 2022). This healing process worked: it took me about 14 months to completely clear my skin. Around 6 months later- at the beginning of 2024- I came down with another sore throat (along with flu-like symptoms) after which my psoriasis returned. To say I am horrified that my body is once again covered in red patches is an understatement; I worked so hard to rid myself of them. Three months into this second flare-up, I can see that a small number of these patches are starting to go through a similar healing process as last time (they heal from the inside out). However, I cannot face another year of this painfully slow recovery process. I am putting myself through all sorts of expensive and unpleasant “remedies” from Traditional Chinese Medicine to goat’s milk kefir. I limit my diet to a potentially pointless extent and undergo time-consuming moisturising routines. It's not like I relapsed on the aforementioned healing process: sure, it might not have been as strict, and Dec 23/Jan 24 was only slightly more indulgent because of Christmas/my birthday. On reflection, I’ve never in my life been intolerant to potatoes, tomatoes, dairy and other supposed food-related triggers so it just doesn’t make sense that I’d suddenly become ‘allergic’ to them. I can also confidently discount all the other major potential triggers including stress, certain operations (e.g. a hip replacement) and smoking. A sore throat preceded both of my flare-ups, and the specific form I experience- guttate- is associated with streptococcal infections. With all of this in mind, I now believe that my tonsils could be the root cause of my psoriasis (by producing autoimmune T-cells that damage healthy cells). While scientific studies on this link are limited, most results point a tonsillectomy bringing about a reduction in psoriasis. Since there doesn't seem to have been many posts about this topic recently, I'm wondering if anyone active on here has experience of this. Thx for reading!