Three Forms of Pustular Psoriasis
Acropustulosis, Palmoplantar Pustulosis and Von Zumbush Psoriasis
Jul 1, 2009
It is estimated that up to three percent of the world’s population suffers from some form of psoriasis. Psoriasis is an autoimmune disease in which the immune system malfunctions and excess skin cells are produced. There are five main forms of psoriasis, which vary from person to person.
Pustular psoriasis is one form of psoriasis, but is among the more rare types of psoriasis. There are three forms of pustular psoriasis.
What is Pustular Psoriasis?
Pustular psoriasis mainly affects adults and rarely affects children. It is similar in appearance to whiteheads, seen in acne. However, the white blisters of pustular psoriasis is actually white blood cells, resulting in a non-infectious pus.
Pustular psoriasis can affect any area of the body, but also can be localized in individuals. For example, it may only affect one individual’s arms, whereas in another individual, it may affect their entire body.
There are three forms of pustular psoriasis:
- Acropustulosis (Acrodermatitis Continua of Hallopeau)
- Palmoplantar pustulosis (PPP.)
- Von Zumbush pustular psoriasis.
Symptoms vary from each type of psoriasis.
Acropustulosis or Acrodermatitis Continua of Hallopeau
Acropustulosis, (also known as acrodermatitis continua of hallopeau,) is among the most rare forms of psoriasis. Individuals who suffer from acropustulosis usually have pus-filled skin lesions on the tips of the fingers or toes.
In some cases, acropustulosis can be triggered by an injury to the fingers, toes, or skin surrounding the area. Acropustulosis can also deform the skin and nails in the affected area, and in severe cases it can cause deformities of the bone structure.
Palmoplantar Pustulosis
Palmoplantar Pustulosis (also known as PPP,) is when pustules appear on the soles of the feet, or the palms of the hands. Generally, PPP features several pustules that appear as red skin plaques which eventually turn to a brown color. Soon after, the pustules will peel off and become crusty.
Palmoplantar pustulosis is a cycle form of psoriasis, and can flare up at any time and then just disappear and reappear.
Von Zumbush Pustular Psoriasis
This rare form of psoriasis can be triggered by steroids, pregnancy, prescription drugs (such as lithium,) an infection and so forth. In most cases, von Zumbush pustular psoriasis is sudden - symptoms occurring, developing and worsening within a matter of hours.
First, skin will become red, painful and extremely tender to the touch. During the following 48 hours, pustules will form. During the same time, these pustules will dry out and peel. Skin will appear glazed and shiny, followed by a new set of pustules. This cycle can last anywhere from a few days, to several weeks.
Unfortunately, the symptoms do not stop there. Individuals who may be suffering from von Zumbush pustular psoriasis may also suffer from severe to mild itching and dehydration, exhaustion, fever and chills. They may also suffer from anemia, muscle weakness and weight loss. If any of this symptoms occur, it is important see a doctor immediately.
Overall, the many forms of psoriasis are not contagious. However, individuals with psoriasis are often plagued by embarrassment which can lead to lost work time and wages, hospitalization, and more.
Is There a Cure for Psoriasis?
There is no known cure for psoriasis. Fortunately, many forms of psoriasis can be controlled using proper treatment. There are many topical creams and medications that can help clear psoriasis for periods of time. In many cases, trial and error will be used to help determine what works for an individual.
Additional Information on Psoriasis:
