Generalized pustular psoriasis induced by systemic steroid dose reduction

Autor: Westphal,Danielle Cristine, Schettini,Antonio Pedro Mendes, Souza,Petra Pereira de, Castiel,Jessica, Chirano,Carlos Alberto, Santos,Mônica
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Anais Brasileiros de Dermatologia, Volume: 91, Issue: 5, Pages: 664-666, Published: OCT 2016
Anais Brasileiros de Dermatologia v.91 n.5 2016
Anais brasileiros de dermatologia
Sociedade Brasileira de Dermatologia (SBD)
instacron:SBD
Popis: Generalized pustular psoriasis, or psoriasis of von Zumbusch, is an acute and severe clinical form of psoriasis, which usually occurs in patients with psoriasis undergoing aggravating factors. In this work, we report the case of a female patient, 70 years old, who developed generalized pustular psoriasis symptoms while reducing the dose of oral corticosteroids, improperly introduced for the treatment of alleged acute generalized exanthematous pustulosis. The differential diagnosis of generalized pustular psoriasis should be made with other pustular dermatoses, such as subcorneal pustulosis, IgA pemphigus and especially with acute generalized exanthematous pustulosis. Personal history of psoriasis and histopathological findings with psoriasiform changes and subcorneal pustule favored the diagnosis. She was treated with acitretin 30 mg / day, progressing to complete regression of the lesions.
Databáze: OpenAIRE