Pustular psoriasis

This chronic skin disease like psoriasis is not infectious. Characteristic rash in the form of red pustules, affecting the body, elbows, feet. The disease is accompanied by pain and itching. But the biggest problem is psychological. Patient avoid, with him afraid to communicate. He eschews companies, avoids public places. There are problems in the home, personal life. Worse, when there is a pustular form of the disease. It is treated only in a hospital. What is pustular psoriasis? This is a severe form of the disease, which is life-threatening.

Types of diseases and their symptoms

The disease often affects men but common in women, rarely hurts the baby. How does psoriasis? Characterized by the appearance of red festering bubbles. At first they are sporadic, but gradually merge into large arrays that cover the entire body. Are formed on the bends of elbows, striking palms, soles. The patient temperature rises, weakness, soreness. Requires urgent hospitalization, intensive therapy in order to rule out death. Distinguish forms of the disease:

  • generalized;
  • localized;
  • infantile (rare).

Generalized form

In a generalized form of psoriasis lesions of the entire body that is life threatening. Fever, soreness of the joints, purulent rashes require urgent integrated effect on the entire body. There are three types of the disease with a generalized form:

  • psoriasis Tsubasa;
  • impetigo herpetiformis;
  • acrodermatitis of Allepo.

Psoriasis Tsubasa. Rarely seen in healthy people. Sick people who psoriasis. Characteristic of single vesicles, burning sensation. Inflamed areas hot to the touch. Papules can disappear and reappear. The rash gradually merge, first in small areas, and then cover the whole body including the head and limbs. The patient’s condition is very heavy.

Impetigo herpetiformis. This type of psoriasis is characterized for pregnant women and is associated and endocrine disorders. In men and children is rare. Appears suddenly, there are rashes in the groin, armpits, around your belly button. Papules sometimes combined into the rings located one in the other, are filled with pus. Characteristic symptoms of the disease:

  • vomiting;
  • fever;
  • the temperature increase;
  • diarrhea;
  • the pain in the joints.

Acrodermatitis of Allepo has a characteristic rash on the soles, palms. Pustules may be opened, forming an erosive surface, purulent crusts. Psoriasis on the hands is striking at first one finger, then covered the entire brush and nails. Movement is limited because the brush is inflated. The disease is chronic, with relapses. The first to appear is the reddening of the skin, peeling, cracked. Ends of purulent lesions. The disease may be preceded by trauma.

Localized form

In this form of psoriasis the lesions are subjected to separate parts of the body e.g. foot, hands. Due to the localization of the disease, it is not so hard, is easier to cure. Although hospitalization is required and the application of a systematic treatment of the whole body and not only manifestations on the skin. There are three different types of this form of the disease:

  • psoriasis of the Barber;
  • a localized form of acrodermatitis Allepo;
  • psoriasis with postolatiy.

Psoriasis of the Barber is the most severe form of localized, life-threatening. Affects palms, soles. Characterized by the appearance of small spots with clear boundaries, which are transformed into pustules, which are located deep within the skin. The disease occurs in waves, lasts a long time poorly to therapy. Appears first the thumb on the hand and foot – can be confused with eczema or fungal disease. Gradually cover all the fingers. Inflammation covers the hands, feet, heels.

A localized form of acrodermatitis Allepo is manifested by a rash on the pubic part, on the phalanges of hands and feet. Most males. Isolated pustules, seldom unite in large colonies. The disease has a tendency to relapse, it is difficult to cure, requires a comprehensive impact on the entire body. Compulsory in-patient treatment with the use of drugs and physical therapy.

Psoriasis with pustulata occurs as a result of incorrect treatment of ordinary psoriasis. This reaction is able to give drug exposure. In this case, the disease develops on the already existing foci of inflammation. Pustules are not widespread, they are small, red, pus. In the treatment using the puncture bubbles with a needle soaked in aniline dye.

Methods of diagnosis

Diagnosis of pustular psoriasis begins with the examination of the patient. The disease has a characteristic appearance of the skin. Meet the symptoms, peculiar only to this type of psoriasis. The survey reflects how long a person is sick, under what circumstances is the symptoms of the disease. When the picture of the disease ambiguous, out – are there any relatives suffering from the same malaise. This confirms the likelihood of psoriasis. In case of doubt, carry out histological examination of skin tissues. To clarify, in a complicated case, doing a blood test.

How to treat pustular psoriasis

There are certain schemes of treatment of pustular psoriasis. Treated initially with drugs acting on the skin, in more complex cases used a comprehensive therapy of the entire body. To cure the disease in severe cases, use:

  • local treatment with ointments, creams;
  • physiotherapy;
  • drug exposure;
  • bath;
  • ozone therapy;
  • krilatie;
  • the pustules piercing needle with aniline dye;
  • diet;
  • the Spa treatment.

Drug therapy

Psoriasis treatment by medication is aimed at a systematic treatment of the whole body. Only in this case it is possible to improve the condition of the patient. Drugs for the treatment of psoriasis, coping with chronic illness:

  • sedative – soothing: «Persen», «Novopassit»;
  • relieves itching: «Tavegil», «Suprastin»;
  • medications – support the liver: «Garal», «Gator».

For the treatment of severe psoriasis in a hospital environment using new, modern biological drugs «Infliximab», «Elephant». They recommend the use of when the patient can not tolerate the NAVEL therapy is contraindicated or she him. An equally important role in the treatment are:

  • immunosuppressants – lifting immunity – «Cyclosporine»;
  • cytostatics are the destroyers of the process of cell growth – «Methotrexate»;
  • preparations containing vitamin a «Tigazon»;
  • ointments and creams with tar, grease;
  • vitamin complexes;
  • topical steroids: «Elokim», «Diprosalic».


Good reviews in the treatment of psoriasis physiotherapy. It is worth noting that not all physical therapy is suitable for patients with and easily tolerated. The treatment takes place under the strict supervision of a dermatologist. It analyzes the results and adjusts treatment. Under favorable conditions, physical therapy provides an excellent effect and a long remission. These types of procedures include:

  • ultraviolet irradiation;
  • PUVA therapy photochemical effects;
  • electrical stimulation;
  • laser treatment;
  • electrophoresis;
  • darsonval;
  • plasmavores.

Spa treatment

After the inpatient treatment, patients pustular psoriasis recommend sanatorium-resort therapy. It gives effective results, comes in sustained remission after treatment of psoriasis. Resorts important therapeutic factors: the sun, the air, the climate. Great for sea bathing. Proposed treatment methods:

  • physiotherapy;
  • laser therapy;
  • mineral water in the form of baths and inside;
  • psychotherapeutic treatment;
  • underwater massage;
  • mud;
  • naphthalene oil;
  • halotherapy treatments in salt caves.

We should also mention the method of treatment baths, which are held course. There are treatments available in any local sanatorium soothing – pearl, oxygen, treatment with turpentine and tar. Separately standing bath with natural healing components, specific to a particular resort:

  • hydrogen sulfide: Pyatigorsk, Belokurikha;
  • silica: Goryachinsk, Tkvarcheli;
  • sodium chloride: Evpatoria, Staraya Russa;
  • radon: Pyatigorsk, Belokurikha.

Looks like pustular psoriasis of the palms and soles

Psoriasis Barbera, covering the feet, develops symmetrically on both legs.

A localized form of acrodermatitis Allepo is often located on the phalanges of the fingers.

Psoriasis with postolatiy appears on the heels of formed in the normal form of the disease papules.

In psoriasis Combucha individual points coalesce into larger affected area.

It requires very careful treatment of psoriasis that cover the whole foot, preventing walking.

Affects the quality of life of the disease symptoms on the palms.

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