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Localized Pustular PsoriasisLocalized pustular psoriasis is a chronic recurrent form of the disease. It has been associated with tobacco use. Small sterile pustules evolve from a red base on palms and soles. Pustules do not rupture but turn dark brown and scaly as they reach the surface. The skin is often quite tender to the point where walking and using the hands becomes difficult if not impossible during a flare. Nail involvement is common. |