Pustular Psoriasis | A Rare Form of Psoriasis

Pustular psoriasis is a form of psoriasis, which is an inflammatory skin condition. Per Dr. Kellie Reed, board-certified dermatologist, “However, unlike conventional (plaquepsoriasis, which is marked by thick patches of dry scales (typically on the scalp, knees, and elbows), pustular psoriasis tends to create blisters and pustules on the skin.” These blisters may either be generalized or localized. Also, since both forms of psoriasis are inflammatory conditions, there is no cure for either condition. “There are treatments to help minimize symptoms,” explains Dr. Reed. People with psoriasis will have it for the rest of their lives, and their symptoms will be intermittent. Some patients can live symptom free for many months, possibly even years; however, this does not indicate total remission. Symptoms may improve for a time, but they often return. Psoriasis is not contagious.

Von Zumbusch generalized pustular psoriasis is a rare type of pustular psoriasis that can be life-threatening because of its systemic nature. In many cases, hospitalization is required to prevent severe dehydration. Dr. Reed elaborates, “This variant of the disease is quite rare; nonetheless, its symptoms must be taken seriously by a dermatologist as this form requires immediate medical care.”

Another type of pustular psoriasis is the localized palmoplantar pustulosis which consists of pustules on the palms of the hand and soles of the feet. “This form can be cyclical, with new crops of pustules followed by periods of inactivity,” per Dr. Reed.

Many of the treatment options for pustular psoriasis include topical steroids, methotrexate, and cyclosporine. The goal is to dull the inflammation in the body so a patient’s immune system will stop producing the rash. After the inflammation has subsided, so will the patient’s symptoms. However, it must be noted that none of these treatment options will “cure” psoriasis.

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We can answer any questions you may have about your pustular psoriasis. If you would like to explore further treatment options, we can help with a treatment plan. Please contact us for more information.

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