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Arch Pediatr Adolesc Med. 2008;162(10):990.

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Denouement and Comment: Pustular Psoriasis, Annular Type

Pustular psoriasis is an uncommon form of psoriasis whose main features include sterile pustules on an erythematous base. It is a rare disease. One study of 112 children with psoriasis found that 0.9% of cases involved generalized pustular psoriasis.¹ Pustular psoriasis affects all races, is slightly more common in males, and may occur as early as the first week of life.² Several cases of psoriasis have been described in the context of Kawasaki disease.³

VARIANTS OF PUSTULAR PSORIASIS

There are several forms of pustular psoriasis. The most common form is generalized pustular psoriasis (von Zumbusch type), an acute, severe form that is associated with fever, severe pruritus, toxicity, malaise, and painful pustulation. Generalized pustular psoriasis lesions in children have an annular morphology in 60% of patients.² By contrast, our patient had the annular, or circinate, form that classically follows a subacute or chronic course and has less systemic involvement. Pustulosis palmaris et plantaris involves . . . [Full Text of this Article]

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Arch Pediatr Adolesc Med. 2008;162(10):989.
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