There are numerous scaly papules and small plaques. This type of psoriasis mainly occurs in children and adolescents. Erythrodermic psoriasis . Total involvement of the skin can cause hypothermia and hypoproteinaemia. Pustular psoriasis .
Pustules occur when the neutrophil collections become clinically visible.
In this latter the patient is ill, with fever and leucocytosis. Psoriatic nail changes . Nail changes are very common with psoriatic arthropathy involving the fingers. The choice of treatment will depend on many factors. These include the capabilities and lifestyle of the patient as well as the type, location, extent and severity of the psoriasis.