Generalized pustular psoriasis (von Zumbusch)

An Bras Dermatol. 2022 Jan-Feb;97(1):63-74. doi: 10.1016/j.abd.2021.05.011. Epub 2021 Nov 24.

Abstract

Generalized pustular psoriasis (von Zumbusch) is a rare and acute eruption characterized by multiple sterile pustules over an erythematous and edematous background, eventually associated with psoriasis vulgaris. Classically, it manifests as a potentially severe systemic picture and demands prompt diagnosis and intervention. The duration of each flare-up and intervals between the pustular episodes is extremely variable. Recently, genetic abnormalities have been identified mainly in the familial and early variants of this disease. The therapeutic arsenal is limited; however, new drugs being evaluated aim to control both pustular flare-ups and disease recurrences.

Keywords: Acrodermatitis; Psoriasis; Psoriasis/epidemiology; Psoriasis/genetics; Psoriasis/physiopathology; Psoriasis/therapy.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Chronic Disease
  • Exanthema*
  • Humans
  • Psoriasis* / diagnosis
  • Psoriasis* / drug therapy
  • Skin Diseases, Vesiculobullous*