Psoriasis with Pustules. Presented by Dr. Alexander W. Young Jr.
Sites: generalized; duration: seven months.
History: The patient is a 51-year-old white man, a bricklayer. In August, 1956, he sustained an injury to the left thumb in the course of his work. This was followed by suppuration, and several incisions for drainage were required, together with evulsion of the nail. The infection persisted, although local and systemic antibiotics were used over a period of time. In February dermatological consultation was obtained for an acute infectious eczematoid eruption occurring on the anterior surface of the right thigh. This was followed by autoeczematization and the appearance of plaque-like, psoriasiform lesions on the extremities and trunk. The eczematous process was controlled with conservative medication. However, the psoriasiform lesions remained and showed pustules.
Past dermatological history indicates psoriasis 19 years ago. (The patient describes one lesion