Identify Causes of Pustular Psoriasis for Its Effective Treatments

Pustular Psoriasis Causes

Pustular psoriasis is an extremely serious condition that does not only affect the external part of the body. It also affects the internal part. Although very rare, the pustular is a serious type of psoriasis. There are two types of pustular psoriasis:

  • Generalized—it is widespread over the body
  • Localized—it is limited to one area of the body
    • Localized pustular psoriasis can be acropustulosis or palmo-plantar pustulosis.
    • Acropustulosis appears only on the tips of the fingers
    • Palmo-plantar pustulosis appears on the palms of hands and soles of the feet
  • Causes of generalized pustular psoriasis include:
    • Pregnancy
    • Infection
    • Drugs, which include iodide, beta blockers, lithium, indomethacin, and withdrawal of injected or oral corticosteroids
    • Topical preparations such as strong corticosteroids under occlusion, coal tar, and dithranol
  • Localized pustular psoriasis can be caused by stress and or infections

Pustular Psoriasis Symptoms

General psoriasis symptoms include:

  • Having dry, red, and painful skin.
  • The above symptom is accompanied by:
    • Chills and fever
    • Headache
    • Nausea
    • Rapid pulse rate
    • Loss of appetite
    • Weakness of muscles
  • Non-infectious pus will fill-in the pustules, which appear on the flexures and genital areas.
  • The pustules, filled with pus will dry up and peel, forming new and smooth skin on top of which are new pustules as well.
  • These pustules will form, then erupt, before they dry and peel, and the process repeats.
  • Localized palmo-plantar pustular psoriasis have the following symptoms:
    • The base of thumb or sides of the heels may develop yellowish and large pustules. These pustules are studded over reddened skin patches and contain non-infectious pus. They become smaller as they lose their yellowish color and be topped with brown scale of skin.

Pustular Psoriasis Treatment

Generally the treatment of pustular psoriasis is geared towards:

  • Restoration of the skin’s natural chemical balance, and natural barrier function.
  • Prevention of additional loss of fluids.
  • Restoration of the body’s stable temperature.

Effective treatment of pustular psoriasis may require hospitalization if it is severe. This includes:

  • Administering antibiotics
  • Bed rest
  • Rehydration
  • Topical treatments
  • Avoidance of heat loss
  • Systemic drugs are also necessary in case the patient is exhausted because of recurring outbreaks

Acropustulosis treatment shall start after the skin is infected or injured. This includes:

  • Tar preparations under occlusion
  • Oral retinoid drugs
  • PUVA

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