There are different types of pustular psoriasis that depend on where the symptoms appear:
- General pustular psoriasis (GPP) or von Zumbusch [vahn zuhm-BOOSH] psoriasis describes symptoms that affect large areas of the body. This type can develop suddenly and progress quickly and often comes with a fever, chills, severe itching, change in heart rate, fatigue and muscle weakness. See a health care provider immediately if you think you may have generalized pustular psoriasis.
- Localized pustular psoriasis or palmoplantar pustular psoriasis (PPPP) is when symptoms affect the palms of the hands and/or the soles of the feet. This type often affects the base of the thumbs and the sides of the heels.
- Acropustulosis [ak-roh-PUS-chool-loh-sis] is when symptoms affect only the tips of the fingers and/or toes. This type is very rare and may present after an injury to the skin or infection.