Back issues No.3 - 1997 / Case Report  

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Inverse Psoriasis
Chao-Shyang Chang, Chang-Lin Chen, Chu-Kwan Wong
Dermatol Sinica 15: 226-230, 1997

Inverse psoriasis is an uncommon variant of psoriasis. Because the distribution and characteristics of inverse psoriasis are quite different from those of psoriasis vulgaris, it is difficult to make a correct diagnosis and treatment. We herein report a case of 26-year-old female patient who suffered from mildly itchy, scaly, erythematous plaques with erosion and fissures over the umbilicus, perimeum, intergluteal folds, bilateral axillae, and retroauricular region for half an year. Besides, grouping , tender pustules with foul, bloody discharge over the scalp was also noted. Skin biopsy of the left axilla was performed which revealed a typical picture of inverse psoriasis. After the prescription of intravenous antibiotics and topical steroid, her psoriatic condition showed much improvement within one week.

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