GENERALIZED PUSTULAR PSORIASIS (VON ZUMBUSCH TYPE) FOLLOWING RENAL TRANSPLANT: A CASE REPORT

GEORGİA DEDEMADİ, MARİA KOUKOULAKİ, VASSİLEİOS VOUGAS, CONSTANTİNOS NOUTSİS, AİKATERİNİ PANTELİDAKİ, SPİROS DRAKOPOULOS

Experimental and Clinical Transplantation - 2018;16(4):488-490

First Department of Surgery, Transplant Unit, "Evangelismos" General Hospital of Athens, Greece

 

Generalized pustular psoriasis appears as an uncommon variant form of psoriasis consisting of widespread pustules on an erythematous background (von Zumbusch). A 39-year-old male patient with a history of plaque psoriasis since the age of 9 who had an acute relapse of generalized pustular psoriasis 12 days following a successful renal transplantation is presented. Despite administered immunosuppression for transplantation, the addition of cyclosporine and methotrexate did not reverse the ongoing process of disease and the patient died on the 57th post - transplant day due to multiorgan failure subsequent to severe bone marrow suppression.