Can psoriasis pustules body

In psoriasis can then pustules systemic psoriasis is a serious disease that could threaten the life, the sudden onset of symptoms with red leather widespread in many hours, especially the appearance of pustules Small red background, with links to many pustules into "pools of pus", in addition to other disease causing fever fatigue, weakness, irritability, increased peripheral blood leukocytes. These are typical symptoms of the disease.
 
On the subject disease, psoriasis pustules may appear often in adults, rare in children, occurs in both men and women.
The disease can be spontaneous, or by complications of the other psoriasis can not properly treated.

Clinical symptoms
Symptoms of sudden onset, the team started fast data fever 40 ° C, within 1 day skin becomes red as fire burns, rashes very strong, diffuse large clusters with the red face and whole body skin but heart no hands and legs, glowing skin, stretch a bit heavy, the folds, more and genital lesions.
Pustular psoriasis, warts grow in waves, scattered or when the red patches on the array, with the crowd outside the red pustules with surrounding halo of light congestion. Pustules do not go to the hair follicles. Many pustules linked to "lakes of pus" 1-2 cm in diameter. Like the other, warts grow in the dry period should have come at the same time there is a new wave grows pustules.

Pustules after injury break slightly slippery fluid secretion of pus and closed scales, scales blown murmuring, murmuring dry scales on the skin red, thick or thin flakes leaves the trunk, limbs, facial injuries if often murmuring chalk flakes. Peeling lasts from one to several weeks later faded red skin patches, gradually remission. There is a phase when the pustules appear different episodes.
During the growing phase pustules, patients feel sore, sometimes itchy little or itching. Also appearing systemic symptoms: high fever often, headache, chills, severe fatigue, irritability, depression may, Li was tired but no organ damage, contamination seems tachycardia, shortness of breath fast.
The claw foot thick finger nail or pepper, with the lake below mongdan pus to onycholysis, the following hair loss. Stay in joints may be affected joint pain symptoms.
Tests
Blood tests show increased leukocytes, especially PMNs.
Erythrocyte sedimentation rate was highest in cases with associated joint damage.
Normally sterile pustules or just staphylococcal contamination, streptococcus.
Histopathology of skin: acne pus cavity foam cell formation by polymorphonuclear leukocytes from the capillaries of the papillary dermis layer moves to the upper layers of the epidermis squamous cell, focusing on alternating between keratinocytes were degradation, also called pustules Kogoj shaped sponge foam tank.
Evolution
Progressed very special, the stage erythema, pustules, desquamation do ill successive changes daily skin makes me feel like is not the same one patient. When the original red, pustules floating severe systemic signs. When peeling stage, low fever, body condition speedy recovery.
The disease tends to recur several times, with round red rash pustular frantic, prosperity seems critical illness, then gradually remission. The prognosis is generally good.
Treatment
When patients are treated exacerbations as severe burns, emergency chamber located separately, for infusion, blood cultures.
Retinoid is the drug of (Etrtinate or acitretin) 0.5 - 1 mg / kg / day. Drug to stop pimples fast and also used to treat avoid recurrence.
Photochemical treatment: medication and Prosalen light touch but UVA ultraviolet radiation. PUVA is not used during the emergency phase that the initial contamination was used when the disease better.
Methotrexate 15 - 25 mg / week. This drug is toxic to the liver, blood ... should be considered with caution.
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