Generalized pustular psoriasis: Difference between revisions

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{{Infobox medical condition
| name            = Generalized pustular psoriasis
| synonyms        = Von Zumbusch psoriasis
| field          = [[Dermatology]]
| symptoms        = [[Pustule]]s, [[erythema]], [[fever]], [[malaise]]
| complications  = [[Sepsis]], [[liver failure]], [[heart failure]]
| onset          = Can occur at any age
| duration        = Chronic, with acute flares
| causes          = [[Genetic]] factors, [[immune system]] dysregulation
| risks          = [[Psoriasis]], [[infection]], [[stress]], [[pregnancy]]
| diagnosis      = [[Clinical diagnosis]], [[skin biopsy]]
| differential    = [[Impetigo]], [[acute generalized exanthematous pustulosis]], [[subcorneal pustular dermatosis]]
| treatment      = [[Topical corticosteroids]], [[systemic therapy]] (e.g., [[methotrexate]], [[cyclosporine]], [[biologics]])
| medication      = [[Acitretin]], [[infliximab]], [[etanercept]]
| prognosis      = Variable, can be life-threatening if untreated
| frequency      = Rare
}}
'''Generalized pustular psoriasis''' ('''GPP''') is a rare, severe form of [[psoriasis]] that is characterized by widespread [[pustules]], high fever, and systemic symptoms. It can occur with or without previous psoriasis conditions or history.
'''Generalized pustular psoriasis''' ('''GPP''') is a rare, severe form of [[psoriasis]] that is characterized by widespread [[pustules]], high fever, and systemic symptoms. It can occur with or without previous psoriasis conditions or history.
== Symptoms ==
== Symptoms ==
The primary symptom of GPP is the sudden onset of widespread, coalescent pustules. These are not infectious, but they are painful and can cause significant discomfort. Other symptoms can include:
The primary symptom of GPP is the sudden onset of widespread, coalescent pustules. These are not infectious, but they are painful and can cause significant discomfort. Other symptoms can include:
* [[Fever]]
* [[Fever]]
* [[Fatigue]]
* [[Fatigue]]
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* [[Muscle weakness]]
* [[Muscle weakness]]
* [[Rapid pulse]]
* [[Rapid pulse]]
== Causes ==
== Causes ==
The exact cause of GPP is unknown, but it is believed to be an autoinflammatory disease, which means it is caused by a malfunctioning immune system. It can be triggered by various factors, including:
The exact cause of GPP is unknown, but it is believed to be an autoinflammatory disease, which means it is caused by a malfunctioning immune system. It can be triggered by various factors, including:
* [[Infections]]
* [[Infections]]
* [[Stress]]
* [[Stress]]
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* [[Pregnancy]]
* [[Pregnancy]]
* [[Menstruation]]
* [[Menstruation]]
== Diagnosis ==
== Diagnosis ==
Diagnosis of GPP is based on the clinical presentation and the exclusion of other conditions. A skin biopsy may be performed to confirm the diagnosis.
Diagnosis of GPP is based on the clinical presentation and the exclusion of other conditions. A skin biopsy may be performed to confirm the diagnosis.
== Treatment ==
== Treatment ==
Treatment of GPP is aimed at managing the symptoms and preventing complications. This can include:
Treatment of GPP is aimed at managing the symptoms and preventing complications. This can include:
* [[Topical treatments]]
* [[Topical treatments]]
* [[Systemic medications]]
* [[Systemic medications]]
* [[Phototherapy]]
* [[Phototherapy]]
* [[Biologic therapies]]
* [[Biologic therapies]]
== Prognosis ==
== Prognosis ==
The prognosis for GPP varies. Some people may experience a single episode and never have another, while others may have recurring episodes. It can be life-threatening if not treated promptly and appropriately.
The prognosis for GPP varies. Some people may experience a single episode and never have another, while others may have recurring episodes. It can be life-threatening if not treated promptly and appropriately.
== See also ==
== See also ==
* [[Psoriasis]]
* [[Psoriasis]]
* [[Pustular psoriasis]]
* [[Pustular psoriasis]]
* [[Autoinflammatory diseases]]
* [[Autoinflammatory diseases]]
== References ==
== References ==
<references />
<references />
[[Category:Dermatology]]
[[Category:Dermatology]]
[[Category:Autoinflammatory diseases]]
[[Category:Autoinflammatory diseases]]
[[Category:Psoriasis]]
[[Category:Psoriasis]]
{{stub}}
{{stub}}
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{{No image}}

Latest revision as of 04:03, 4 April 2025


Generalized pustular psoriasis
Synonyms Von Zumbusch psoriasis
Pronounce N/A
Specialty N/A
Symptoms Pustules, erythema, fever, malaise
Complications Sepsis, liver failure, heart failure
Onset Can occur at any age
Duration Chronic, with acute flares
Types N/A
Causes Genetic factors, immune system dysregulation
Risks Psoriasis, infection, stress, pregnancy
Diagnosis Clinical diagnosis, skin biopsy
Differential diagnosis Impetigo, acute generalized exanthematous pustulosis, subcorneal pustular dermatosis
Prevention N/A
Treatment Topical corticosteroids, systemic therapy (e.g., methotrexate, cyclosporine, biologics)
Medication Acitretin, infliximab, etanercept
Prognosis Variable, can be life-threatening if untreated
Frequency Rare
Deaths N/A


Generalized pustular psoriasis (GPP) is a rare, severe form of psoriasis that is characterized by widespread pustules, high fever, and systemic symptoms. It can occur with or without previous psoriasis conditions or history.

Symptoms[edit]

The primary symptom of GPP is the sudden onset of widespread, coalescent pustules. These are not infectious, but they are painful and can cause significant discomfort. Other symptoms can include:

Causes[edit]

The exact cause of GPP is unknown, but it is believed to be an autoinflammatory disease, which means it is caused by a malfunctioning immune system. It can be triggered by various factors, including:

Diagnosis[edit]

Diagnosis of GPP is based on the clinical presentation and the exclusion of other conditions. A skin biopsy may be performed to confirm the diagnosis.

Treatment[edit]

Treatment of GPP is aimed at managing the symptoms and preventing complications. This can include:

Prognosis[edit]

The prognosis for GPP varies. Some people may experience a single episode and never have another, while others may have recurring episodes. It can be life-threatening if not treated promptly and appropriately.

See also[edit]

References[edit]

<references />

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