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Revista Clínica de Medicina de Familia
On-line version ISSN 2386-8201Print version ISSN 1699-695X
Abstract
ZUFIA GARCIA, Francisco Javier; GOMEZ FERNANDEZ, Esperanza and TORRALBA GARRIDO, Vicente. Palmoplantar pustulosis. Rev Clin Med Fam [online]. 2019, vol.12, n.3, pp.147-150. Epub Oct 21, 2019. ISSN 2386-8201.
Palmoplantar pustulosis is a chronic inflammatory disease characterized by pustular lesions on the palms and soles, fever and leukocytosis. It is a rare clinical entity, with an estimated incidence of 1-5 patients per million per year. Its pathogenesis is not fully understood, and environmental and genetic factors seem to be involved. An early diagnosis with supportive treatment, topical corticosteroids and antiseptics ensure a good prognosis in most cases. We present the case of a 54-year-old woman with a history of rheumatoid arthritis who had rapidly progressive generalized pustular rash, fever and poor general condition. The patient required hospitalization at the dermatology unit for intravenous antibiotics and potent corticosteroids, with good clinical progress and complete recovery in 48 hours.
Keywords : Palmoplantaris Pustulosis; Pustular Dermatoses, Subcorneal; Primary Health Care.