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Generalized pustular psoriasis with a novel mutation of interleukin-36 receptor antagonist, responding to methotrexate  Yee-Leng Teoh, MD, MRCP, Yong-Kwang.

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Presentation on theme: "Generalized pustular psoriasis with a novel mutation of interleukin-36 receptor antagonist, responding to methotrexate  Yee-Leng Teoh, MD, MRCP, Yong-Kwang."— Presentation transcript:

1 Generalized pustular psoriasis with a novel mutation of interleukin-36 receptor antagonist, responding to methotrexate  Yee-Leng Teoh, MD, MRCP, Yong-Kwang Tay, MD, FRCP  JAAD Case Reports  Volume 1, Issue 2, Pages (March 2015) DOI: /j.jdcr Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

2 Fig 1 A, Scattered discrete pustules on erythematous skin on the shins. B, Dystrophic toenails with pustules on both feet. JAAD Case Reports 2015 1, 51-53DOI: ( /j.jdcr ) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

3 Fig 2 Skin biopsy results showed acanthosis, elongated rete processes, spongiosis, and focal parakeratosis. Neutrophils migrate through the epidermis and concentrate in the parakeratotic layer. It has perivascular inflammation and includes neutrophils, lymphocytes, plasma cells, and some eosinophils. Extravasation of red blood cells is noted in the papillary dermis. (Hematoxylin-eosin stain; original magnification: ×40.) JAAD Case Reports 2015 1, 51-53DOI: ( /j.jdcr ) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

4 Fig 3 Homozygous point mutation in which the cytosine pyrimidine was substituted with the thymine pyrimidine in the splicing donor site on the region of exon 3. JAAD Case Reports 2015 1, 51-53DOI: ( /j.jdcr ) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions


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