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What Is Pustular Psoriasis?

In This Article

1- What is Pustular psoriasis?The Secets Of Clear Healthy Skin

2- What Does Pustular Psoriasis Look Like?

3- What Causes Pustular Psoriasis?

4- What Are The Symptoms Of Pustular Psoriasis?

5- What Are The Types Of Pustular Psoriasis?

6- What Treatment Is Available For Pustular Psoriasis?

7- Pustular Psoriasis Prevention And Management

8- What Are The Pustular Psoriasis Complications?

9- References

What is Pustular psoriasis?

What Is Pustular Psoriasis?What is Pustular psoriasis? Pustular psoriasis or sometimes referred to as generalised pustular psoriasis is a type of psoriasis that is characterized by skin lesions or blisters filled with pus. The lesions sometimes occur in clusters and could be very painful. The pus is non-contagious and it’s not an infection at all. The skin around the pustules turns red and tender.

The condition is often rear and affects all races, men and women of older age equally with no exceptions. But with children, it affects them between the ages of 2 and 10 years old and tends to show up on boys more than girls

Often times when people ask what is pustular psoriasis? They also want to know how it plays out with other types of psoriasis. We will also be looking at the psoriasis cure as it relates to pustular psoriasis.

Sometimes pustular psoriasis can co-exist with plaque psoriasis or one following after the other but both are very different. The main difference between the two are the white pustules found in pustular psoriasis, these are absent on plaque psoriasis.

What Does Pustular Psoriasis Look Like?

Here are some more distinguishing features of pustular psoriasis-

-The skin in and around the pustules is usually red

– It affects mostly the arm, the elbows and the knees, it rarely affects the face

– The pustules may also occur under the nails and as well as on the tongue.

– Apart from the hands, legs and knees, it can also spread very rapidly all over the body.

– The pustules and blisters will eventually turn brown and crusty and peel off later exposing shiny and scally skin.

– The circles of appearing, fusing and peeling off and reappearing again might last for weeks, making the patient uncomfortable and exhausted.

-The ring shaped type of pustular psoriasis is much more common in children than adults with less severe symptoms than in the generalised type of pustular psoriasis.

In the ring shaped plaque psoriasis, the plaques are elevated when they show up. You will find pustules all around the edges of the ring. The edges normally expand and the centre heals.

-In children, pustular psoriasis is often times are mild and you might see other symptoms of psoriasis beside the normal pustular psoriasis symptoms.

-For the palms and soles of the feet, pustular psoriasis in these areas is usually chronic and maybe associated with bone or joint inflammation leading to psoriatic arthritis. Usually when the pustules appear on these areas, they are white and yellow as they fill up with pus.

What Causes Pustular Psoriasis?

What causes pustular psoriasis is quite similar to the causes of plaque psoriasis. Though generally, all forms of psoriasis is triggered by a combination of genetic and environmental factors. But below are some factors known to be associated with pustular psoriasis and most are what triggers pustular psoriasis:

1- The use of strong and irritating topical solutions such as creams and soaps containing tar,

Secrets Of Clear Healthy Skin

Secrets Of Clear Healthy Skin

anthralin, steroids, and zinc pyrithione in shampoo.

2- Too much exposure to sunlight and phototherapy

3- Suddenly stopping the use of systemic steroids.

4- Taking other medications such as:-

-Salicylates, and compounds made from salicylic acids that are mostly used to treat patients with pain.

-Vitamin D derivatives and Calcipotriol

-Penicillin and some kinds of antibiotics

-Oral iodides

-Lithium or trazodone, and taking antidepressants

5- Pregnancy

6- Having an unusually low level of calcium in the blood stream; a condition known as Hypocalcemia.

7- Jaundice

What Are The Symptoms Of Pustular Psoriasis?

  • This condition primarily affects adults more than children.
  • Head aches
  • Fever
  • Chills
  • Joint Pain
  • Decreased appetite
  • Nausea
  • The affected areas of the skin are usually red and white pustules surrounding them.
  • In most patients, within 2 to 3 months, they go into a phase that involves the loss of their hair.

What Are The Types Of Pustular Psoriasis?

Having dealt with what is pustular psoriasis? There are different types of pustular psoriasis and accompanying psoriasis cure but first the different types include:

Palmer-Plantar Pustulosis (PPP)

This is sometimes called palmoplantar psoriasis. This is usually a localised form of pustular psoriasis that acts on the palms of the hands hence the name. But they are also found on the soles of the feet. This type of pustular psoriasis is more common with people between the ages of 20 and 60 years old and a lot more in people that smoke.

In PPP, when the pustules do show up, they are very large and about 5mm in diameter on the hands and feet such as the thumbs and the sides of the heels. Gradually, the pustules dry up, turn brown and then gradually fade away or peel off. This type is usually cyclical, when they old fade; new ones come up to replace them. Sometimes the skin do crack open in these areas and they are very painful leading to some form of loss of functionality especially in the hands.

Acrodermatitis Continua Of Hallopeau

This is also referred to as Acropustulosis. This form of pustular psoriasis is usually rear than the rest. Like PPP, it appears on the hands, the heels and the toes as well. Here, when the pustules burst, it exposes bright red patches that sometimes ooze.

This type can cause deformity in the toenails and bones of the fingers if left untreated. They are normally triggered by skin injury and sometimes by infections.

Von Zumbuschi Pustular Psoriasis

This is also called generalised pustular psoriasis. This form of pustular psoriasis normally begins with pains on the areas that are affected and those areas turn red. Within a matter of hours, pustules are formed and they dry up within a day or two.

The areas affected are very itchy and the patient may experience fever, chills, and dehydration. This is usually treated as an emergency since it could be life threatening.

Like most other types of psoriasis, this particular type of pustular psoriasis also comes and goes in circles. It most times can lead to weight loss, and its potential complications include, hair loss, nails loss, secondary bacterial infection and as well as liver damage. This type of pustular psoriasis is rear in children.

What Treatment Is Available For Pustular Psoriasis?

Pustular psoriasis treatment is very crucial and urgent when it comes to psoriasis cure and most especially pustular psoriasis because this is one form of psoriasis that could be life threatening. In situations like these, patients are normally hospitalised and kept under strict observation.

This is to prevent more dehydration, stabilize body temperature and the restoration of electrolyte imbalance. Most times doctors need to rotate treatments to avoid further complications especially with the stronger medications.

Studies have shown that the combination of of acitretin (brand name Soriatane) and methotrexate is usually very effective in checking pustular psoriasis. Below are the treatments for specific types of pustular psoriasis-

-Generalised Pustular Psoriasis treatment

All forms of pustular psoriasis require immediate medical attention and generalised pustular psoriasis is no exception. The doctors will have to rehydrate the body system after substantial loss of fluids, the patient will need to have his or her temperature stabilised.

Systemic medications for generalised pustular psoriasis include:

-Antibiotics for infections


-Biologic agents like infliximab, etanercept etec


-Systemic corticosteroids

-Methotrexate and


-Acropustulosis treatment

This is one form of pustular psoriasis that has been hard to treat. But a good combination of topical preparations may help. For others, systemic medications may be all they need to get relief.

-Palmoplantar pustular psoriasis treatment

Here doctors find it easier to first use topical treatments before considering other options that are stronger treatments. The other options may include; including PUVA, UVB, acitretin, methotrexate or cyclosporine.

-Pustular Psoriasis Therapies

Apart from the various psoriasis treatments mentioned above, there is still other alternative pustular psoriasis therapies and remedies available. Mostly these are home cure for psoriasis that you can apply at home Some of these psoriasis home remedies may include:

– Diet changes,

-Supplements, and

-Stress-reducing techniques to help reduce symptoms.

It’s also good to note that the FDA has not approved these alternative pustular psoriasis remedies with good reason because they have not been clinically tested.

Pustular Psoriasis Prevention And Management

Aside from the fact that psoriasis is a genetically motivated illness which of course means that there is little you can to prevent it; but you can also help by making sure that you stay away from those things that can trigger a flare up for you. And some of these can be applied to general psoriasis treatment are:

-Avoid any environmental factors like too much sun exposure, smoking and too much alcohol intake. These will serve to help you have a stronger immune that will have a better chance at fighting the condition.

-There are really no specific dietary restrictions but generally eating good food and staying as healthy as you should; will save you a lot of pain and heart ache.

Psoriasis Away/The Secrets Of Clear Healthy Skin

When the condition does flare up:

-Seek immediate admission to the hospital

-There should be intensive nursing and care, paying attention to the level of body fluids, and temperature regulation.

-Endeavour to use bland or topical compresses and saline or oatmeal baths. These will help soothe the affected areas and give you some relief.

-The combinations of psoralen and ultraviolet A (UVA) can be used but not at the early stages. Your doctor will determine when to start applying this and at what rate and quantity.

What Are The Pustular Psoriasis Complications?

-Hair loss

-Nail loss

-Secondary bacterial infection of the skin

-Poor circulation and general toxicity may lead to liver failure.

-Malabsorption and malnutrition may occur

-Death due to cardiac arrest or acute respiratory distress syndrome


University Of Maryland Medical Centre




February 3, 2015

Living With Psoriasis And How To Spot The 7 Types Of Psoriasis

Table Of Contents

1- Living With Psoriasis

2- Plaques Psoriasis/psoriasis vulgaris

3- Erythrodermic Psoriasis

4- Guttate Psoriasis

5- Pustular Psoriasis

6- Invers Psoriasis

7- Psoriatic Arthritis

8- Nail Psoriasis

Living With Psoriasis

Psoriatic AthritisJust like anything in life, knowledge about problems or issues that you might have about anything; makes a great difference. The same goes for psoriasis. It is a sickness that can have major impact on the lives of patients.

So living with psoriasis can be a daunting task for most people but just a minor irritation for some. This is one illness that affects about 7million people in the United States alone and costs about 11.25 billion dollars annually in treatments.

So whichever way you look at it, knowing a bit more about psoriasis will go a long way to help you and your doctor make better decisions on the best psoriasis treatment that’s suits you. Most people actually have only one form of the disease but then after the symptoms are gone, they might experience another psoriasis trigger. Learning the different types of psoriasis will also help to know what causes psoriasis or what in effect triggers psoriasis?

So here are ways by which you can spot the 7 different types of psoriasis and the different signs and symptoms associated with each one of them.

#1- Plaques Psoriasis/psoriasis vulgaris

This is the most prevalent form of psoriasis and it’s been estimated that 6 out 8 people that are afflicted with the condition has this form of psoriasis. It is characterised by red skin patches which are inflamed and are covered with silvery what scales. In some people, these patches do itch and burn at the same time. Then after a while, they may crack to become open sores and bleed.

The normally appear in the following areas-

  • The lower back region
  • The knees
  • The scalp
  •  The elbows

#2- Erythrodermic Psoriasis

This is a type of psoriasis that seems to cover the whole body surface leaving the whole surface looking burned and red. It is very rear and may occur just once or twice throughout the life time of psoriasis sufferers.

It most often brought about by unstable plaque psoriasis in which the lesions seem to just be all over the place.

This type of psoriasis is:

  • Very itchy and painful as well
  • Burning and peeling just like we’ve seen in psoriasis vulgaris.
  • It could also lead to change in body temperature and
  • Increased heart rate
The Secrets Of Clear Healthy Skin

The Secrets Of Clear Healthy Skin

It has been noted by specialists that this kind of psoriasis could lead to serious complications as a direct result of low protein in the body and loss of fluid. Patients have also been known to experience infections, acute pneumonia and or congestive heart failure.

Erythrodermic Psoriasis triggers includes:

  • Strong coal tar products
  • Medications such as lithium and anti-malarial drugs like cortisone
  • If patients suddenly stop systemic psoriasis treatment
  • Severe sunburn
  • An allergic drug reactions

#3- Guttate Psoriasis

This is a type of psoriasis that is commonly found in children. It is the 2nd most common type of psoriasis right behind plaque psoriasis. They usually show as small reddish sports on the skin. This kind of psoriasis may disappear within a matter of weeks even without being treated. How to cure guttate psoriasis is not that difficult but first, you need to know the symptoms

The parts of the body that are most affected are

-The scalp

– The trunk

-Upper arms and

-The thighs

Guttate psoriasis triggers

The things that trigger guttate psoriasis

This could include-

  • Drugs like beta-blockers
  • Stress
  • Some kinds of respiratory infections like strep throat or tonsillitis
  •  Any kind of break in the skin

#4- Pustular Psoriasis

Pustular psoriasis as the name implies shows up as white pustules or blisters. The pustules normally contain pus made up of white blood cells but are not infectious and also not contagious. The areas around the pustules are always surrounded by red skin.

It normally attacks much more older people and can be a direct result of the following-

-Weakened muscles



-Chills and

-Increased heat rate

Pustular psoriasis triggers include:

-Exposure to some kinds of chemicals found in everyday products or at the work environment.

-The over use of strong topical steroids over a substantial area of the body

-If you suddenly stop any systemic treatments prescribed by your doctor


-Exposure to too much sunlight (Ultraviolet rays) with some form of sun screen protection.

-Certain kinds of stressful situations in your life and

-Some kinds of skin infection

#5- Invers Psoriasis

Sometimes called intertriginous psoriasis normally appears in the folds of the skin. They are red lesions and could be smooth and shiny in some patients; sometimes the sufferers will also have other kinds of psoriasis on other parts of their body at the same time. This kind of psoriasis doesn’t produce scales, the locations on which they show up are-

-The skin folds of the genitals

-The skin folds around the buttocks

-For women, the area under the breasts

-The armpits and theThe Secets Of Clear Healthy Skin

-The groin as well

Just as a result of their location, they are made worse by humid and sweaty conditions and when they are rubbed.

#6- Psoriatic Arthritis

This kind of psoriasis afflicts about 23% of all psoriatic patients. You will recognise it by the painful swelling in and around the joints of the body.

In fact it’s a combination of arthritis and psoriasis at the same time. It sometimes causes scally patches of the skin around those joint areas. Close to 90% of psoriatic arthritis sufferers also have nail changes too.

This type usually affects most adults, usually people who are between 30 to 50 years old. In this case, it’s usually very important to be diagnosed early to prevent deformity due to joint and tissue damage.

The common symptoms of psoriatic arthritis include:

-Discoloured warm joints

-Swelling of the fingers and the toes

-Stiff painful joints which normally get worse in the mornings.

#7- Nail Psoriasis

This are changes to the nails of the fingers and the toes which are normally brought on by some other diseases.

Half of the folks with active psoriasis have this form of psoriasis due to severe pain especially those with psoriatic arthritis. Most times those with this form psoriasis will need to stop certain activities and worse even when combined with psoriatic arthritis. To treat nail psoriasis, one should know its symptoms.

Common symptoms of nail psoriasis include:

-The total crumbling and eventual loss of the entire nail due to weakening of the nail matrix by psoriasis.

-Pitting of the nails due to loss of parakeratotic cells from surface of nail plate.

-The nails will sometimes become tender and very painful

-The nails might turn yellowish-brown.


Related Links


–  Health Line

The Guardian

January 22, 2015

What Is The Best Way On How To Treat Nail Psoriasis Naturally?

The Secets Of Clear Healthy SkinTable Of Contents

1- How To Treat Nail Psoriasis Naturally Overview

2- Carful Trimming

3- Aloe Vera Moisturizer For Psoriasis

4- Anti-Fungal Essential Oils For Psoriasis

5- Humidifiers For Psoriasis

6- Practicing Proper Hygiene For Psoriasis

7- Diet For Psoriasis

How To Treat Nail Psoriasis Naturally Overview

How To Treat Nail Psoriasis Psoriasis can be one of the most stubborn skin problems. Due to the extent of the skin’s coverage, it isn’t unusual for sufferers to become frustrated as the condition hits them in several places all at once.

Possibly one of the most common “hotspots” of psoriasis is in the nail, causing pain, discomfort, and even disfigurement. Fortunately, there are ways to get this in control as part of your psoriasis cure methods. In this article, you’ll find out how to treat nail psoriasis naturally.

Carful Trimming

The first defense against psoriasis is keeping your nails clean and well-trimmed. A common problem with this condition involves the nails starting to loosen from the bed, beginning from the top down to the root. When left alone, any scratching or movement you do can aggravate the nail and pull it completely off. Prevent this from happening by carefully trimming the nails before they become too loose.

Aloe Vera Moisturizer For Psoriasis

Psoriasis often leads to dry skin and therefore, very dry nail beds. This not only causes pain but also slows down the regrowth of the nail while worsening the condition of the skin. You can try using gel directly from the plant or buy a commercial gel and apply as often as needed.

This helps replenish and retain the moisture of the skin, preventing further cracking and reddening of the nail bed. One of the best ways on how to treat nail psoriasis naturally with you spending so much money. This is also part of the psoriasis moisturizers that can be applied.

Anti-Fungal Essential Oils For Psoriasis

Fungal infections are another common problem that occur during nail psoriasis which is one of the many different types of psoriasis that afflict people. Although the psoriasis doesn’t directly cause this, the exposed nail bed becomes a breeding ground for fungi.

Stop this from happening through the use of anti-fungal essential oils such as tea tree oil. Purchase a small bottle, dilute it, and apply gingerly on the affected area as per the instructions on the bottle. This should kill the fungi and alleviate problems associated with it leading to better relief and psoriasis cure.

Humidifiers For Psoriasis

Dry air means dry skin — which can be bad if you have psoriasis. This condition only aggravates the skin further and causes plaque to grow one on top of another. A humidifier can help with this problem by supplying your indoor air with sufficient moisture to prevent drying skin. Try to sleep with this device turned on or, if it’s possible, have access to a humidifier 24/7.

Practicing Proper Hygiene For Psoriasis

Proper hygiene doesn’t just involve daily baths but also the quality of said baths. Ideally, you should allow your body to soak in tepid water to maximize the amount of moisture absorbed. During thisThe Secrets Of Clear Healthy Skin time, you can also gently remove the scales that are making your nail psoriasis difficult — but do this gently! When drying off, don’t rub but simply pat yourself dry. Also, the kind of soap you’re using matters a lot. Look for something mild that’s been specially made to replenish skin moisture.

Diet For Psoriasis

Lastly, don’t forget the importance of diet. Although there are no specific food items linked to nail psoriasis treatment, it’s been noted that the skin gets most of its moisture from what you eat and drink. That said, drink lots of water, avoid processed food, and opt for natural, healthy food.

Those are just few of the most common and effective methods on how to treat nail psoriasis naturally. If your psoriasis is not responding to any of the psoriasis cure and psoriasis treatments or its condition is just too severe, then consulting a dermatologist might be necessary.


Related Links

Psoriasis Home Remedy

Managing Nail Psoriasis