Pustular Psoriasis

Treatment of Pustular Psoriasis

Pustular psoriasis can be controller with Psoriasis-Ltd III. First wash the affected area with warm soapy water (some of the soaps we recommend are the following: Dove 'Sensitive Skin Unscented Beauty Bar' and Neutrogena (the transparent facial bar) "dry skin formula - fragrance free"). . Once the area is washed, leave the affected skin area wet. Glide the Psoriasis-Ltd III disk over the area, for no more than a few seconds, with Psoriasis-Ltd III less is more. Within 10 seconds the Psoriasis-Ltd III will be dry. Finally add a small amount of jojoba oil or safflower oil to the skin. This will help the skin stay moist throughout the day.

Symptoms of Pustular Psoriasis

Pustular psoriasis is a rash, characterized by pustules, which are blister-like lesions of non-infectious fluid, and intense scaling. Individuals with pustular psoriasis are often among the most seriously ill and may have to be hospitalized.

The characteristics of pustular psoriasis is a yellowish-greenish pustules. The large size of .08 inch or 2 mm in diameter makes for a most delicate and painful skin condition. After a week or longer, the pustules sometimes disappear and light brown scales usually begin. And after several days, the scales begin to disappear and new pustules start an entirely new cycle. Most commonly the fingers, hands and foot bottoms or soles are symptomatic of pustular psoriasis which makes working with the hands or walking a considerable effort and painful.

Pustular psoriasis can be classified depending on the severity of the symptoms:

  1. Acute in which the symptoms appear suddenly and are severe in appearance.
  2. Chronic, which are, classified as long-term episodes, which re-occur frequently.
  3. Sub-acute which a classification in-between sudden and severe episodes and long-term re-occurring episodes.

Pustular psoriasis is further divided in subsets defining specific symptoms and conditions in which it occurs:

Generalized pustular psoriasis (Zumbusch pustular psoriasis) can be found on any location of the body and named after Von Zumbusch, the founder in the early 20th century. Generalized pustular psoriasis is identified with acute symptoms such as, fever, and toxicity. The reason why it's generalized is due to the general reddening and inflammation of the skin with sheets of small pustules that will merge into one large sheet. The condition begins with the development of reddened, painful and tender skin over a large section of the body, pustules will develop in a few hours. Over the next one to two days, the pustules will dry, peel, and leave the skin with a glazed, smooth appearance. Episodes often occur in waves that last for several days or weeks. Von Zumbusch pustular psoriasis is associated with fever, chills, severe itching, dehydration, rapid pulse rate, exhaustion, anemia, and weight loss and muscle weakness. Treatment for von Zumbusch pustular psoriasis often requires hospitalization for dehydration and initiation of topical and systemic treatments, which typically include antibiotics. Von Zumbusch pustular psoriasis can be triggered by an infection; sudden withdrawal of topical or systemic steroids; pregnancy; and drugs such as lithium, propranolol and other high blood pressure drugs; iodides and indomethacin.

In Palmoplantar pustulosis, the pustules are more localized, occurring primarily on the palms of the hands and soles of the feet. Palmoplantar pustulosis is characterized by multiple pustules the size of pencil erasers in fleshy areas of the hands and feet, such as the base of the thumb and the sides of the heels. The pustules appear in a studded pattern throughout reddened plaques of skin, then turn brown, peel and become crusted. The episodes occur in cycles, with flares of pustules followed by periods of low activity. Research has suggested that an abnormal response to nicotine can trigger flares in individuals with palmoplantar pustulosis.

Acropustulosis also called Acrodermatitis Continua of Hallopeau. This is a less common form of pustular psoriasis is characterized by skin lesions on the ends of the fingers and sometimes the toes. The eruption occasionally starts after an injury to the skin or infection. Often the lesions are painful and disabling, resulting in a deformity of the nails. Bone changes can occur in severe cases.

Annular pustular psoriasis is a ring-shaped form of pustular psoriasis. It is usually sub acute or chronic, and people with this type do not usually have symptoms aside from the skin symptoms. Annular pustular psoriasis tends to have a ring-like appearance where the outer margin is red with lighter or normal looking skin inside the circle. Annular pustular psoriasis is a rare variation of pustular psoriasis which has a tendency to spread and form enlarged rings. It is the most common form of pustular psoriasis in children but can occur in adults also.

Infantile pustular psoriasis is a form of pustular psoriasis that tends to occur during infancy. The skin under and around the pustules is red and has a tendency to occur in repeated waves with frequent spontaneous remissions. The symptoms of Infantile pustular psoriasis include; raised pus-filled skin bumps, skin redness around pustules, stinging, burning sensations, itching and peeling skin.