Hello. Thank you for writing to us at healthcaremagic Pustular psoriasis is considered to be severe type of psoriasis. Pustular psoriasis is usually managed in a hospital based ICU setting. Pustular psoriasis is an unstable form of psoriasis and is most commonly the result of sudden withdrawal of steroids (oral or topical); topical irritant therapies like coal tar, anthralin are also implicated in precipitating pustular flare. Infections and pregnancy are other common reasons for pustular flare. In pustular psoriasis there may be associated systemic symptoms like fever, chills, weight loss etc. Systemic treatment with either Methotrexate, Acitretin and cyclosporin is the treatment of choice for pustular psoriasis. Topical treatment usually comprises emollients. All other topical treatments like coal tar and steroids are discontinued in pustular flare. Besides specific treatment of pustular psoriasis, general measures like monitoring of fluid and electrolyte balance, pulse and BP, Intake and Output charting are an essential part in the overall managment of pustular psoriasis. I suggest you to visit a dermatologist. Your dermatologist will tell you in more details about this form of psoriasis and available treatments and also do the needful. Regards