• The acral form of generalized pustular psoriasis is characterized by macroscopic pustules surmounting erythematous plaques that may progress from a localized distal eruption to involve the entire cutaneous surface. Juvenile-onset and familial-generalized pustular psoriasis are rare; familial-juvenile-generalized pustular psoriasis is exceptionally uncommon. A kindred of three children in the same generation had chronic, localized-acral pustular psoriasis and episodic-generalized pustular psoriasis.
(Arch Dermatol 1984;120:1174-1178)
Hubler WR. Familial Juvenile Generalized Pustular Psoriasis. Arch Dermatol. 1984;120(9):1174-1178. doi:10.1001/archderm.1984.01650450056018