Varieties of exudative (pustular) psoriasis

Today, there are several types of skin diseases. One of them is quite rare pustular psoriasis, which has several forms. Usually characterized by frequent eruptions in the areas of the hands and soles of the feet. About different types of pustular psoriasis, their symptoms and methods of struggle explain in more detail in this article.

Generalized psoriasis

The clinical picture of the disease

Pustular psoriasis is a skin disease in which pustules are formed on some parts of the body. The result of ignoring early signs and timely treatment, the pustules merge.

This form of the disease affected mostly men from 21 to 36 years. The factors that cause exudative psoriasis, include such phenomena of exogenous and endogenous nature, such as:

  • treatment for a long period of potent drugs;
  • shifting body stress frequent;
  • prior infectious disease.

First, in some areas of the skin appear a small rash, which later formed bubbles. Outwardly, they look like small inflammation with red edges, with a diameter of 2-3 mm, filled with pus. Over time, these abscesses can be combined to form large spots on the skin of the patient. Then they are covered with brown or yellow crust. The lesion — the skin of the back, chest, hips, elbows and knees, palms and soles of the feet.

Usually this form of psoriasis occurs when the person is already sick or is a carrier of psoriasis vulgaris.

Exudative form of psoriasis

There are several types of pustular psoriasis, each of which includes several varieties:

  • Generalized type
  • Localized type

Generalized pustular psoriasis is an acute form of the disease of the dermis. Together with the external symptoms are also internal, such as high fever, pain in the damaged areas of skin, malaise, fatigue, weight loss, edema.

Like look rash you can see in the photo below.

Generalized psoriasis

is divided into the following types:

  1. acrodermatitis de Allepo. They suffer mostly men of different ages. For this type the characteristic symptoms are a rash on the surface of the palms and feet. Later these pustular education reveal, and in their place appear erosion, and the volume of the dermis in this area is reduced;
  2. herpetiformis Impetigo. This disease often affects pregnant women. Characterized by rashes in the groin area, armpits and inner thighs;
  3. psoriasis Cumbush. This disease often occurs in perfectly healthy individuals who have not previously observed eruptions. The skin form of red vesicular inflammation, which then develop into pustules. The last time merge and grow, as a result of treatment may be fatal. In this type of the disease pustules appear again and again in other parts of the skin, after a seemingly complete recovery.

Localized form

is divided into the following types:

  1. pustular psoriasis Barber or Palmar-plantar psoriasis. It usually appears in women after suffering of psoriasis vulgaris apply to chronic diseases. In the course of the disease the pustules become dry and will peel. Psoriasis of soles and palms are also affected nail plate. The treatment of this disease difficult.
  2. localized acrodermatitis de Allepo. Formations occur in the pubic region, after the transfer of any dermatological disease.
  3. psoriasis with postalease. This negative side effect, the result of using the wrong patient individually ointments, pastes and gels in the fight against the rash. Such rashes do not merge or expand.

Pustular psoriasis of the palms and soles is not immediately, recognize it is not easy. First formed harmless redness, and only a short period — Sami pustules.

The symptoms of the disease

In addition to the appearance of different kinds of rashes, described in detail above, exudative psoriasis is accompanied by the following symptoms:

  • in the affected areas, patients feel burning, itching, pain;
  • the lesions usually coalesce and expand, forming a "pus lake";
  • inflammation can cover any area of the skin, including the scalp and face. When running the form rash may cover entire body;
  • the disease is often recurrent in nature;
  • patients often observed chills, General malaise, lethargy, muscle weakness, fever, increased body temperature;
  • often at locations of pustules, the skin is visibly thickens, thickens and flakes.

One of the reasons for the development of exudative forms of psoriasis are obesity, genetic predisposition to diabetes, allergic reactions, failure of hormonal background. Prone to this disease of persons who work a lot outdoors, children, the elderly. Still the nature of the origin of exudative psoriasis and the exact cause is not identified.

To a number of causes for this disease include genetic predisposition to skin disorders and problems of the immune system, thyroid gland, gastrointestinal tract. Constant stress also increase the risk of disease. Mechanical damage, trauma to the skin of the body, increased sensitivity to allergens, previously transferred infectious diseases can also cause of psoriasis. More than half of cases caused by improper treatment of various diseases of the dermis.

The above reasons lead to the violation of metabolism in the body, which leads to a weakening of its protective functions. As a result, the body is easily susceptible to disease, including diseases of the skin. The latter also contribute to bad habits.



Treatment of generalized forms of pustular psoriasis runs hard for a long time and includes required hospitalization. Doctors usually prescribe the following:

  • Antihistamines
  • Sedative medications (antipsychotics, solutions bromine)
  • Vitamins D, B, E and C
  • Immunosuppressive drugs
  • Cytotoxic drugs

To cleanse the body from within and remove the toxins the patient is usually prescribed a course of intravenous injections. Sometimes for a short period recommend corticosteroids high dosage. With the aim of getting rid of swelling and inflammation using anti-histamine medications. Well inflammation fighting substances from the group of retinoids, which are contained in derivatives of vitamin A (Tigazon).

In acute forms appoint gemodez, hemosorption, ultraviolet irradiation of blood, plasmapheresis. Later move on to other methods – taking a medicinal bath photochemotherapy (PUVA-therapy).

Palmar-plantar psoriasis is commonly treated with medication external use with retinoids and corticosteroids in the composition. To improve immunity given oral course of vitamins of group A, B, P, C and minerals. In localized forms of the disease is prescribed:

  1. Various ointments, creams and gels with tar or salicylic acid in the composition. They can be combined with corticosteroid medications.
  2. Short-term treatment containing corticosteroid hormones drugs. This method is not suitable for the treatment of the skin.
  3. Ointment on the basis of the analogue of vitamin D-3 to remove from the skin of dried crusts.
  4. Pharmacy special shampoos and sprays for the treatment of the scalp.

Treatment exudative psoriasis individually in each case, it depends on the characteristics of the organism, severity of the disease and its forms. This process is difficult and long, so patients need to be patient and to comply with all instructions and advice of the physician to strictly adhere to their assigned set of procedures for treatment.

Folk remedies

In folk medicine, the use of decoctions and infusions based on natural herbs for internal use and bath, apply compresses, lotions, and the application is made ointment. The first have a cleansing effect on the inside, helping to flush out toxins, improve immunity, relieve swelling and inflammation.

To combat itching and inflammation apply juniper or birch tar, a decoction of oak bark, succession, celandine, chamomile and calendula.

To improve the immunity and protective functions of the organism it is recommended to drink teas on the basis of a dogrose, sea-buckthorn, currant leaves, raspberries, with lemon and honey.

To cleanse the skin from the resulting crust is customary to use olive oil, butter, apricot or peach pits, sea buckthorn and avocado oil.


To prepare herbal infusion, you'll need 3 tbsp. of row and 1 tbsp. of Valerian root, the same St. John's wort and leaves of celandine. All you need to mix and pour 300 ml of boiling water. After 15 minutes, strain and drink warm half a Cup twice a day.

Folk remedies

To prepare an infusion for bathing you will need 1 tsp. of herb celandine, St. John's wort, Valerian, and sage series. This mixture should be boiled in 300 ml boiled water for 10-15 minutes, then strain and pour into the tub. You can also 100-150 grams of celandine boiled in 4 liters of water and then leave to stand, covered for one hour. Next, in the same way as in the previous case, strain and add to bath. It is recommended to take these baths every day for 15 minutes.

For preparing ointments need to mix the tar with olive (or other vegetable) oil, and process her inflammation and pustules. As good another recipe: mix 50 grams of propolis and a pound of melted butter and boil this mixture until the condition of viscous mass. It is necessary to lubricate the affected areas.

To prepare the gadgets you need to boil 1 Cup of milk and add 1 tbsp of flax seed, how much burdock root and grape leaves. All this to cook, stirring occasionally, 10 minutes. Then the broth is filtered, cooled and soaked it in wool treated with affected skin.

Although according to the reviews of patients, traditional methods have a good effect, after all, you need to first consult with your doctor.