Annular pustular psoriasis in a 6-year-old child: Case report.
- Author:
Patricia Gaile E. Espinosa
;
Francisco D. Rivera IV
- Publication Type:Case Reports
- Keywords:
annular pustular psoriasis;
children;
pustular psoriasis;
topical steroids
- MeSH:
Psoriasis
- From:
Journal of the Philippine Medical Association
2018;96(2):51-55
- CountryPhilippines
- Language:English
-
Abstract:
Annular pustular psoriasis (APP) is a rare variant of pustular psoriasis occurring only in
about 1-5.4% of children with psoriasis. Pustular psoriasis is triggered by endogenous and
exogenous factors. Exogenous factors include stress, upper respiratory tract infection and
withdrawal of systemic corticosteroids.
This condition usually requires systemic treatment. However, there are still no
randomized controlled trials or standardized guidelines proving the advantage of any specific
treatment modality over the other.
We report a case of a 6-year-old male who presented with diarrhea followed by
appearance of erythematous annular plaques with pustules and nail changes. Punch biopsy
showed pustular psoriasis. Patient was treated with topical betamethasone valerate and
calcipotriol, and there was noted to have no recurrence of skin lesions for 4 months.
- Full text:Annular pustular psoriasis.pdf