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Updated: Jun 12, 2026

Measuring Psoriasis Severity at Home
Published on: March 1, 2024
A severe case of erythrodermic psoriasis associated with advanced nail and joint manifestations: a case report
Carlos G Teran1, Carlos N Teran-Escalera, Carola Balderrama
1Department of General Pediatrics, Centro Pediatrico Albina Patiño, Cochabamba, Bolivia. carteran79@hotmail.com.
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.
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