Wednesday, May 15, 2024

How To Treat Pustular Psoriasis

What Are Other Therapies For Pustular Psoriasis


For the most part, alternative therapies have not been tested with clinical trials, and the FDA has not approved dietary supplements for the treatment of psoriasis. However, the National Psoriasis Foundation does discuss some other therapies on its website. Individuals should check with their doctors before starting any therapy.

Should You Remove Psoriasis Scales

Removing the scaling caused by scalp psoriasis is safe to do when done with care. Avoid pulling at existing scales. Instead, treat psoriasis scales with active ingredients that soften them and help them break off from the scalp. The safest physical removal of scales is from shampooing and gently combing the scalp.

Prevention Of Pustular Psoriasis

You may not be able to prevent the disease, but you might lower your risk if you follow these healthy guidelines:

  • Maintain a healthy weight. Many people with psoriasis are overweight or obese. Sometimes people gain weight after they get psoriasis. Doctors don’t know if there’s a link between extra pounds and psoriasis, but it’s wise to try to lose weight safely if you weigh more than you should. People who carry extra pounds have more severe cases of psoriasis, and the treatments for the disease don’t work as well.
  • If you smoke, quit. People with the habit are more likely to get psoriasis. Studies have shown that most people with pustular psoriasis who smoke were smokers before they got sick. The habit may trigger the disease in certain people. People who smoke at least a pack a day may have more severe psoriasis flare-ups, too. Treatments don’t work as well on smokers, and smokers are less likely to have symptom-free periods between flares.
  • Limit beer, wine, and liquor. If you have psoriasis, you should avoid alcohol or at least limit how much you drink. Alcohol can make men more likely to get psoriasis. People who drink have more flare-ups, and treatments don’t help as much as they do for people who don’t drink.
  • Lower your stress levels. Do your best to relax and let things roll off of your back at work, at home, and when you’re out and about. Avoid stressful people and events, if you can. Try exercise or meditation to bust stress.

Show Sources

Recommended Reading: Treatment For Scalp Psoriasis Home Remedies

How Can Gpp Be Treated

GPP is a serious condition, so it is essential that medical advice and treatment is sought immediately. People with GPP often need to stay in hospital to get more fluids into the body, stabilise temperature, and try to carefully bring the skin under control.

Treatment for GPP is usually cautious, to hopefully avoid aggravating the skin any further. Initially, affected areas will be treated with bland non-active treatment, for example emollient, compresses and/or oatmeal baths, to soothe the skin. Treatment may then move onto acitretin – an oral retinoid – or other systemic or biologic medications. PUVA may be used if appropriate. Antibiotics may also be prescribed, if an infection is present.

How Is Pustular Psoriasis Different From Ordinary

Pustular psoriasis of pregnancy: Treatment and Precautions

Pustular psoriasis is one of the rarest types of psoriasis. Erythema, inflammation, and rash of many small pustules appear on the skin. Sometimes pimples merge, forming “puddles” of oil. If the skin lesions are extensive, they may be accompanied by a rise in body temperature, malaise, general weakness, and itching.

Read Also: How Do They Test For Psoriasis

Traditional Treatment Cautions Pustular Psoriasis Natural Treatment

You make an appointment to see your doctor because your psoriasis is flaring. He takes a look and then whips out his prescription pad to order one of the following:

. A prescription strength topical treatment

. phototherapy

. oral and injection therapy

. over the counter drugs

Any of these treatments may work fine to relieve your symptoms and make you feel better for now. The trouble with conventional treatment methods is that they rarely work to cure the underlying cause of this skin condition and that can leave you suffering repeat attacks. Still it is important to know what helps are available, and how they may help or hurt your chance of treatment success.

Topical Ointments Pustular Psoriasis Natural Treatment

Topical ointments are used at the first sign of psoriasis. If caught early enough they can sometimes stave off a full-blown attack. Unfortunately, most people report becoming immune to them when used often, which makes them useless for long term use. Still, using the occasional cream or gel can help relieve some of your symptoms. Steroids

Both topical and internal steroids can be prescribed to help ease psoriasis swelling inflammation and itching. Immunomodulators

An immune suppressing drug that was originally used to help transplant patients beat organ rejection, Cyclosporine helps to inhibit T lymphocyte production so that scaly plaque is unable to grow on the surface of the skin.

Oral Retinoid Pustular Psoriasis Natural Treatment

. stretch marks

Enhancing Healthcare Team Outcomes

Management of pustular psoriasis requires an interprofessional team approach, including providers from primary care, dermatology, and infectious disease. A detailed history and complete physical examination are critical in diagnosing cases of pustular psoriasis. A dermatologist can help in the initial diagnostic workup and to assess for complications. Depending on the surface area involved, admission to the hospital may be required . In equivocal cases, a biopsy can be performed, as the differential diagnosis for pustulosis is rather vast. Treatment is targeted to prevent relapses and shorten the duration of flares.

Recommended Reading: Does Red Light Therapy Help Psoriasis

Is Palmoplantar Psoriasis A Disability

Psoriasis in general can be very disabling. With proper medical documentation, a person with psoriasis may qualify for social security disability payments.

According to , palmoplantar psoriasis can be even more disabling, because it affects the hands or feet.

However, although each case is different, palmoplantar psoriasis may not necessarily have a more severe impact on a persons mental health or life overall than psoriasis generally does.

The following images show how palmoplantar psoriasis may appear on the skin.

How Is Pustular Psoriasis Treated

Psoriasis and the Feet, Part 2: Treating Pustular Psoriasis of the Skin

Like other forms of psoriasis, there are several ways dermatologists treat pustular psoriasis. And, while some patients respond to steroid creams and ointments, others require oral medications or phototherapy, which uses UVB light to treat involved areas of skin.

Treatment protocols are dictated by how much body surface area is involved, says Dr. Adarsh Vijay Mudgil, MD, a board-certified dermatologist and dermatopathologist, and owner of Mudgil Dermatology in New York City. For localized skin involvement, topical treatments with steroid creams or ointments generally suffice. For more widespread disease, systemic therapy is generally required, which can involve either oral medication or injectable biologic medications .

Treatments for more severe GPP may include monitoring electrolytes, which is why hospitalization is necessary. “Well look at blood calcium levels, which can be dangerously low in these patients,” says Andrew Miner MD a dermatologist in Rockledge, Florida. Many of the best treatments for GPP are fast acting and include medications like cyclosporine or infliximab .

Interestingly, some patients with GPP have been found to have a mutation in a molecule called interleukin-36, adds Dr. Miner. For these patients, future treatments may include more targeted therapies involving interleukin-36-related molecular pathways, he says.

Also Check: Over The Counter Topical Steroids For Psoriasis

Overview Of Pustular Psoriasis

There are three types of pustular psoriasis:

  • Generalized Pustular Psoriasis
  • Localized Pustular Psoriasis, or Palmoplantar Pustular Psoriasis
  • Acropustulosis

All types have the inflamed, red, tender, and blotchy skin covered in blisters in common. The only difference is the location of the flare-ups. They can take place in different parts of the skin and cover a smaller or a larger portion of the body.

The pus found inside the blisters is not contagious. Therefore, you cannot get pustular psoriasis from someone else, nor can you infect someone with it.

The condition is rare in children, as it usually affects adults. However, there is a genetic predisposition to pustular psoriasis, and the disease runs in families.

Infantile And Juvenile Pustular Psoriasis

While psoriasis is a common disease in children and adolescents, pustular psoriasis in patients younger than 18 years is exceedingly rare.73 There are only a few reports in the literature regarding pustular psoriasis in children, owing to its rarity.74 One report reviewing 12 cases of juvenile pustular psoriasis indicates a 2:1 male predominance.75 The average age of onset ranges from 6.6 to 7.6 years.75,76 The diagnosis is typically made based on clinical and histological features.75 Clinically, juvenile pustular psoriasis can present in a diffuse generalized pustular pattern similar to adult GPP, or more commonly, it can present in a circinate or annular pattern.77 The affected children often have systemic findings including fever, as well as lab abnormalities such as leukocytosis and elevated erythrocyte sedimentation rate.75

The etiology and pathogenesis of juvenile pustular psoriasis are unknown.75 The disease has been reported in several sibling or other familial associations, lending to the theory of at least a partial genetic component to the dermatosis.78 Juvenile pustular psoriasis, like other forms of psoriasis, is often associated with identifiable triggers such as infection, vaccination, and corticosteroid withdrawal.79


Don’t Miss: Psoriasis On Inside Of Elbow

Causes Of Pustular Psoriasis

There are many reasons why people get pustular psoriasis. These include:

  • Certain drugs. Thereâs a long list, but the ones youâre most likely to run across are:
  • Pain or fever reducers with aspirin
  • Coal tar
  • Zinc pyrithione
  • Steroids . If your doctor prescribes these drugs and you stop taking them more quickly than the doctor wants you to, it can trigger the disease.
  • Sunlight. Too much time in the sun or under ultraviolet light can cause flare-ups.
  • Stress. Feeling stressed can trigger pustular psoriasis.
  • Pregnancy. It’s more common in pregnant women.
  • Infections. An infection may trigger the disease.
  • Unknown reasons. Sometimes, you never find out what caused your pustular psoriasis.

Treatment Algorithm For Gpp

An Atypical Case of Pustular Psoriasis Presenting With Severe Subungual ...
  • NB-UVB, narrowband ultraviolet B PUVA, psoralen plus ultraviolet A therapy.


Granulocyte/monocyte adsorption apheresis is an extracorporeal therapy used to remove and suppress the functions of neutrophils, macrophages and monocytes that accumulate in the inflamed tissue and are involved in the manifestations. The effect and safety of GMA have been reported mostly in case reports. Although the effect and safety of GMA were demonstrated in a multicenter study, an RCT has not been performed. GMA’s utility is expected based on the mechanism of action . The administration manual in draft form of GMA is shown in Appendix I at the end of the Guidelines.

Read Also: Why Do I Suddenly Have Psoriasis

What Is Pustular Psoriasis

Pustular psoriasis is a rare subspecies of psoriasis that manifests itself as superficial, flat pustules on various parts of the skin.

The pus in the lesions consists mainly of defense cells of the immune system, the neutrophils. Unlike pus, which forms after bacterial infections, the pus in the lesions of pustular psoriasis is not infectious.

While around 90 percent of psoriasis patients suffer from common psoriasis, psoriasis Vulgaris, pustular psoriasis affects less than five percent of those affected.

Pustular psoriasis can be recognized by the grouped pus lesions that gather around a reddened halo.

Pustular psoriasis can, depending on the form of the disease, be accompanied by fever and a feeling of severe illness. The patients feel exhausted.

Since pustular psoriasis can be a life-threatening disease, patients should be in constant contact with an experienced dermatologist.

Treatments For Pustular Psoriasis

In 2012, the American Academy of Dermatology developed treatment guidelines for pustular psoriasis. The goal of treatment is to reduce the frequency and duration of flare-ups and prevent complications. Pustular psoriasis can be difficult to treat. It may take time to develop an effective treatment that works for you, so discuss all treatment options with your dermatologist.

Don’t Miss: Does Infrared Sauna Help Psoriasis

What Is The Prognosis Of Pustular Psoriasis

Complications may include the following:

  • Bacterial skin infections, hair loss, and nail loss
  • Hypoalbuminemia due to loss of blood protein into tissues
  • Hypocalcemia
  • Kidney damage
  • Liver damage
  • Malabsorption and malnutrition

The von Zumbusch type can cause death if it is not treated during the acute phase. In the elderly and those with compromised cardiopulmonary function, pustular psoriasis can be a very serious condition.

Occasionally, acute respiratory distress syndrome can complicate generalized pustular psoriasis. People who have typical psoriasis before they experience a generalized pustular episode tend to do better than people with unusual forms of psoriasis before the pustular flare-up.

Children tend to recover well as long as serious skin infections are avoided.

Pustular Psoriasis Of Pregnancy

Pustular Psoriasis – How To Treat Pustular Psoriasis Naturally !

Pustular psoriasis of pregnancy, also called impetigo herpetiformis, is a very rare variant. It can be life threatening for the mother and fetus if its not treated.

Pustular psoriasis of pregnancy most often appears early in the third trimester. It can reappear in future pregnancies, usually at an earlier stage.

Symptoms may include:

  • pus-filled bumps on the inner thighs and groin that join together and spread
  • pustules in the mouth and under the nails

Although the exact cause is unknown, some possible risk factors may be a family history of psoriasis or a gene mutation triggered by increasing levels of progesterone.

Your treatment will depend on the type of pustular psoriasis you have and how serious it is. Sometimes it takes several tries or a combination of treatments to find the most effective approach.

Your doctor will probably prescribe ointments first because they can soothe your skin and reduce inflammation.

UV light, both natural and artificial, is used to treat psoriasis. PUVA therapy is a combination of UV light and psoralen, an oral medication that makes your skin more sensitive to it. PUVA stands for psoralen plus ultraviolet A.

Your doctor may also prescribe medications like:

  • acitretin , an oral retinoid
  • cyclosporine
  • tumor necrosis factor-alpha blockers like infliximab , adalimumab , and etanercept
  • interleukin-12/23 inhibitors like ustekinumab

TNF-alpha blockers and interleukin-12/23 inhibitors belong to a group of powerful drugs known as biologics.

Don’t Miss: Crohn’s Disease And Psoriasis

What You Need To Know About Psoriasis Pustular Psoriasis Natural Treatment

Is Your Stomach to Blame?

Who would have thought that a severe psoriasis outbreak could start because of something going wrong inside of your stomach and intestines? Yet, new research developed by psoriasis expert Edgard Cayce shows a distinct link between a leaky gut and a scaly psoriatic episode. According to Cayce, the primary source of psoriasis can be found in the intestinal tract, where toxins are leached into the body. This causes the immune system to react by thickening the skin. At the same time, the skin tries to purge the toxins through its layers, which can cause scabs and sores to form.

Could Arthritis Be the Cuplrit?

The intestines arent the only link to psoriasis found by researchers arthritis seems to also contribute to it. As many as one-third of all psoriasis patients eventually develop some form of psoriatic arthritis. Unlike normal forms of arthritis, those with psoriatic arthritis do not exhibit a rheumatoid factor when their blood is tested. This indicates that the arthritic condition comes solely from either the psoriasis itself or the underlying cause of the skin affliction.

Could a Virus Be the Cause?

Arthritis has been linked to certain virus and so have other auto-immune disorders. This leads some researchers to think that psoriasis too may start with a virus, which is what kicks the immune system into overdrive.

Is Palmoplantar Psoriasis Contagious

cannot contract it by coming into contact with the affected skin of a person with the condition the way they could contract a virus or bacteria.

However, if someone is experiencing symptoms and does not yet have a diagnosis of psoriasis, they should seek medical attention. This is because, although rare, some contagious conditions, such as secondary syphilis,

People with palmoplantar psoriasis and other types of psoriasis also have an increased risk of psoriatic arthritis, which affects the joints.

You May Like: Best Treatment For Pustular Psoriasis

What Are Causes And Risk Factors Of Pustular Psoriasis

To understand pustular psoriasis, one must recognize aspects of classical plaque-type psoriasis. It is generally agreed that a combination of genetics and environment induces psoriasis, including this pustular subtype. Below is a list of factors that are known to exacerbate pustular psoriasis:

  • Acutely stopping high-dose systemic steroids
  • Various medications have been associated with exacerbations of psoriasis, including the following:
  • Oral iodides
  • Interferon alfa and recombinant interferon-beta injections
  • Strong, irritating topical solutions , including tar, anthralin
  • In most people, a trigger for the disease is never identified.

    Supplements And Alternative Treatments

    Examining the Potential Benefits of Secukinumab in Palmoplantar ...

    The NPF suggests some herbs and natural remedies that may help with psoriasis in general:

    • Tea tree oil: Always dilute with a carrier, such as almond oil, before applying. Do not take by mouth. Some people may have an allergic reaction.
    • Capsaicin: Some people find that applying a cream containing capsaicin, the spicy ingredient in chili peppers, to the skin may help reduce itching and burning.
    • Epsom or Dead Sea salt: Add it to lukewarm water to soak the hands or feet.
    • Oatmeal: You can add it to a soak or a bath.
    • Mahonia aquifolium: Applying a 10% topical cream may help reduce mild to moderate symptoms of psoriasis.
    • Apple cider vinegar: Apply directly to the skin or dilute in equal parts with water. You can also add it to salads to take it by mouth.
    • Turmeric: Adding this spice to food or taking turmeric supplements may help with some types of psoriasis.
    • Raw honey: According to a 2019 case study, using raw honey may be an effective way to reduce symptoms.

    It is advisable to consult a healthcare professional before using any of these, to make sure they are safe and suitable for a person to use.

    A person can apply a small amount to a small area of the skin to check their reaction, in case they have an allergy or the treatment makes their symptoms worse.

    Don’t Miss: Natural Remedies For Psoriasis On Legs

    Popular Articles
    Related news