“Psoriasis pustulosa generalizada de von zumbusch”

Abstract

A 45-year-old female patient with a history of vulgar psoriasis for 23 years, between surgical records recorded infra umbilical laparotomy due to an Ectopic Pregnancy accident 13 years ago and tubal sterilization 15 years ago. After a picture of Acute Inflammatory Abdomen that required surgical resolution, it manifests as a Generalized Pustular Psoriasis with confirmed histopathological criteria. Since the year 2017, Metrotexate had 10 milligrams of oral therapy weekly, so that the underlying disease was controlled, but from the Acute Inflammatory Abdomen box, which resulted in the extraction of a Cecal Appendix. grade III with glera, a postoperative period with mild complications, which were presumed to be due to the lack of mobility due to bed rest after the surgical procedure, the dermatological and systemic manifestations were reactivated in a very aggressive way, which did not yield before the proposed treatment, with first line combination therapy, despite a multidisciplinary management; so it was decided to initiate the process of referral to Third Level Hospital for the management of the pathology in question with Monoclonal Antibodies, since the options of first line therapies available in the Basic Table of Medicines of our country were exhausted.