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Open Access Highly Accessed Case report

A severe case of erythrodermic psoriasis associated with advanced nail and joint manifestations: a case report

Carlos G Teran*, Carlos N Teran-Escalera and Carola Balderrama

Author Affiliations

Department of General Pediatrics, Centro Pediatrico Albina Patiño, Cochabamba, Bolivia

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Journal of Medical Case Reports 2010, 4:179  doi:10.1186/1752-1947-4-179

Published: 15 June 2010

Abstract

Introduction

Erythrodermic psoriasis is a rare generalized clinical presentation of psoriasis in children and adults. Its systemic involvement and a diverse range of clinical findings in the joint and nails are commonly described. A high index of suspicion and an exhaustive differential diagnosis involving other causes of erythroderma should be initially considered.

Case presentation

We present the case of a 9-year-old native Hispanic girl with severe erythrodermic psoriasis associated with uncommon advanced nail and joint manifestations. Our patient showed an excellent response to methotrexate medication.

Conclusion

This case shows clinical features not commonly described or reported in severe cases of erythrodermic psoriasis, including severe and rare nail and arthritic findings in a pediatric scenario.