Pustular psoriasis Images
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Psoriasis pustulosa generalisata: in the case of known, previously only discreetly developed psoriasis, suddenly occurring pustular exanthema with fever, arthralgias and severe disturbance of the AZ.

Pustulosa generalisata psoriasis: in case of known, so far only discreetly developed psoriasis, suddenly occurring pustular exanthema with fever, arthralgias and severe disturbance of the AZ. Marked by a square: scattered white pustules. Encircled: first, fresh, smallest red papules as a sign of the existing thrust activity.

pustular psoriasis generalisata: detailed picture. fatty detachment of the str. corneum. scales can be peeled off the skin as a thin translucent foil.

Pustulosa generalisata psoriasis: close-up. fatty detachment of the str. corneum. encircled: whitish areas due to underlying pustule lake.

Psoriasis pustulosa generalisata. eruption of sterile pustules on extensive erythema in the area of the trunk. multiple, partly extensive erosions and whitish macerations. secondary findings are high temperatures, reduced general condition, leucocytosis.

Psoriasis pustulosa generalisata: detailed view of the left thigh.


Psoriasis pustulosa generalisata: severe clinical picture with fever, arthralgias and considerable disturbance of the general condition; generalized large-area, confluent erythema and plaques with pustules, the shear rate of which is already declining; coarse lamellar, "corneolytic", fatty, scaling (explanation: only the uppermost epidermal layers with the stratum corneum come loose, so that the scale consists only of an extremely thin, translucent, tearable foil; this type of foil-like honing layer detachment is also found in scarlet fever - also called "scarlatiniform scaling").

Psoriasis pustulosa generalisata: detailed view

Pustular psoriasis. Dorsal view


Psoriasis pustulosa generalisata. acute psoriasis pustulosa. spongiform, subcorneal neutrophil (only neutrophil granulocytes) pustule.

Psoriasis pustulosa generalisata: acute psoriasis pustulosa. spongiform, subcorneal neutrophil (only neutrophil granulocytes) pustule. encircled: the epidermis penetrated by neutrophil granulocytes "spongy = spongiform". bar on the left marks the pustule located in the stratum corneum "intracorneally". horizontal arrow marks the later desquamation zone which only affects the stratum corneum (foil-like thin skin).