Pustular Psoriasis

There are several types of pustular psoriasis and they are all treatable.

Pustular psoriasis is a type of psoriasis; there are several types of pustular psoriasis including Von Zumbusch, palmoplantar, and acropustulosis.

Psoriasis is called an autoimmune disease because it occurs when T-cells that usually fight viruses and bacteria in the body attack healthy cells instead. The T-cells also join with neutrophils (white blood cells) to accelerate the build-up of the warm, red skin lesions that make up psoriasis. This disease is caused by both genetics and environmental factors.

Pustular psoriasis, usually affects adults, and appears as tiny blisters enclosing pus surrounded by red skin. The pus is not an infection, it is simply a collection of white blood cells. Sometimes pustular psoriasis is limited to the hands and feet, but it sometimes covers the whole body. The developmental pattern of pustular psoriasis starts with red skin, then the pustules, and then scaling.

A combination approach is often used by dermatologists to help manage pustular psoriasis. For generalized pustular psoriasis, some dermatologists prefer using acitretin and methotrexate, either combined or separately, as they can cause pustular psoriasis to go into remission. Phototherapy is also used.

Von Zumbusch causes an extremely fast pustular psoriasis onset. It can be life threatening; emergency care is required. It presents first as painful, red skin followed by the development of pustules. It can cause dehydration and often causes fever and chills, itching, anemia, weight loss, and muscle weakness. A day or two after onset, the pustules should dry and the skin becomes shiny. Treatment includes acitretin, cyclosporine, or methotrexate, and sometimes oral steroids are used.

Palmoplantar pustulosis is a psoriasis that occurs on the palms of the hand and soles of the feet. The pustules appear on red plaques of skin that soon turn brown and crust over. Treatment includes topical creams, phototherapy, or acitretin, methotrexate, or cyclosporine.

Acropustolusis is a rare type of pustular psoriasis. With this type, painful lesions appear on the ends of your fingers and/or toes. This is a hard form to treat; systemic medications are sometimes successful.

You Might Also Enjoy...

Help! I'm Embarrassed by This Mole

If you have an embarrassing mole, getting it checked out and removed by an expert can go a long way in providing emotional ease. Mole removal may also help protect you from serious health consequences, such as advanced skin cancer.

4 Ways to Treat Hair Loss

Patches of baldness or larger amounts of hair in your brush can be pretty upsetting. We can help treat these signs of alopecia through several noninvasive treatments, including light therapy and different types of medications.

When Should I Seek Help for a Rash?

While some rashes are quite mild and temporary, others require swift medical care. Getting care from a dermatologist when rash symptoms set in can help determine the underlying cause and your ideal treatment.

Can Anybody Get a Chemical Peel?

Chemical peels can enhance your appearance by bringing about new, healthy skin — but are they for everyone? Before scheduling a chemical peel, consider whether you’re a good candidate.

Got Age Spots? We Have Solutions

Do you notice unsightly age spots on your face, hands, and elsewhere? Your skin sustains sun damage that can result in age spots. Keep reading to learn about your options for professional cosmetic treatment to remove or reduce your age spots.

Why Do I Still Get Acne and What Can I Do About It?

Have you tried face wash after face wash but still struggle with adult acne? You’re not alone. Thankfully, your dermatologist can provide comprehensive care. Keep reading to learn about the common causes of acne and what we can do to help.