case_images: PMC8357619_01
case_images: Case 1 (A and, B) widespread erythematous plaques and coalescing pustules on day 0; (C and, D) widespread postinflammatory hyperpigmentation with residual erythema and exfoliation on the distal parts of the upper limbs at week 2; (E and, F) almost-clear skin with discrete residual erythema on the dorsa of the hands at week 18.
case_images: BTT-15-317-g0001.jpg
case_images: PMC8357619_01_BTT-15-317-g0001.jpg
case_images: f0001
case_images: On admission, she presented with widespread painful erythematous plaques with coalescing pustules (Figure 1A and B), accompanied by systemic symptoms (fever, malaise, and chills). At this point, the patient exhibited widespread postinflammatory hyperpigmentation with residual erythema and exfoliation on the distal parts of the upper limbs (Figure 1C and D). At that time, only minimal residual erythema was present on the dorsa of the hands, with complete resolution of the rest of her skin (Figure 1E and F).
case_images: PMC8357619_02
case_images: Case 2 (A and, B) widespread erythematous plaques with coalescing pustules on day 0; (C and, D) significant improvement with residual erythema on the trunk and upper limbs at week 2; (E and, F) erythema on the trunk and limbs and residual psoriatic plaques on the elbows at week 30.
case_images: BTT-15-317-g0002.jpg
case_images: PMC8357619_02_BTT-15-317-g0002.jpg
case_images: f0002
case_images: On admission, the patient presented with widespread pustules on a background of erythema with psoriatic plaques on the extensor surfaces of the elbows and knees, accompanied by arthralgia and general malaise (Figure 2A and B). Residual erythema was present on the trunk, lower legs, and forearms at week 2 (Figure 2C and D). At week 30, the skin was clear, apart from residual plaques on the elbows (Figure 2E and F).