What is Pustular Psoriasis

Pustular Psoriasis



A pustular psoriasis is a rare form of psoriasis. It appears as a fine, clear raised bumps that are filled with a white and thick fluid which composed of white blood cells, called pus. The skin around these bumps and under these bumps is red. While yellow fluid is a common sign of infection, but there is no clear demonstration that this infection plays its role in pustular psoriasis.

It is not contagious nor infection. It consists of widespread pustules (Pus) on an erythematous background. This form is Psoriasis is a genetically causes inflammatory disease that mainly affects the skin of 3% people in the US. It characterizes by white skin cells that multiply up to 10 to 20 times faster than normal. When these white cells reach the surface and die, then red plaques formed over the skin with scales. These plagues, however, the mostly occur on the elbows, knees, and scalp.

Here you can see in this picture the raised bumps on the fungus like skin that fill with pustules (Pus). It can easily be noted that the skin around and under these bumps is entirely red.

Symptoms of pustular psoriasis:

This type of psoriasis, mostly seen in adults. Anyhow, it may be confined to certain body parts like on hands and feet. The general form of psoriasis can also cover the entire body of the patient. It undergoes the cycle with the reddening of the skin with scaly white pustules.

Although these white and white fluid plagues can be limited to certain few areas, the condition can involve the far-flung areas of the body’s skin.

Its symptoms vary depending on the severity and type of psoriasis patient have. Common psoriasis symptoms are:

  1. The skin covered with red patches and silvery scales
  2. Small spots of scales on entire body or few areas
  3. Severe itching, burning, and soreness
  4. Itchy Plagues with pus
  5. Small points of bleeding when the scales peeled.
  6. A Headache, fever, joint pain, nausea and chills
  7. Decreased appetite
  8. One of the prominent symptoms is within an hour patient can see few are or more clusters of pustules over the skin.
pustular psoriasis

Pustular psoriasis

Causes of Pustular psoriasis:

To know the best understanding of pustular psoriasis, you should be aware the main causes of classical plaque psoriasis. However, it believes that combination of environment and genetics bring on psoriasis, which includes pustular subtype. Below are the few factors that aggravate psoriasis:

  • Irritating skin agents(Creams, ointments which applied on body)
  • Internal medications (Oral iodides (SSKI) and Lithium are known for exacerbations of psoriasis.
  • Pregnancy
  • Over Exposure to sunlight and UV rays
  • Emotional stress
  • Sometimes infections
  • Systemic steroids
  • A sudden drug withdrawal
  • Injections of interferon alfa and recombinant interferon-beta.

Types of pustular psoriasis:

There are three types of pustular psoriasis which are:

  1. Von Zumbusch
  2. Palmoplantar pustulosis (PPP)
  3. Acropustulosis


Treatments of pustular psoriasis:

It is not strange for doctors to combine and split treatments for pustular psoriasis due to potential side effects of medications and phototherapy.

However, treatment for different types of psoriasis include:

  • Von Zumbusch: This psoriasis treatment consists of methotrexate, cyclosporine, and acitretin. Many times doctors also prescribed oral steroids
  • For those who are unable to respond and very ill. PUVA also used on the severe stage of this type of psoriasis when the development of pustules and redness has passed.
    • Palmoplantar pustulosis: This type of psoriasis is usually stubborn to handle, so doctors usually prefer to give topical treatment and then considered other treatments including UVB, PUVA, methotrexate, and cyclosporine.
    • Acropustulosis: This form of psoriasis is difficult to treat. Topical treatment may help some people, and many had success using systemic medications to acquit wounds and furbish up the nails.

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