Generalized pustular psoriasis of pregnancy treated with narrowband UVB and topical steroids

Treatment of pustular psoriasis: From the Medical Board of the National Psoriasis Foundation

“…One case report documents narrowband UVB as an alternative therapy for GPP in pregnancy that is resistant to topical corticosteroid treatment. 61 A second case report demonstrated a therapeutic response with oral PUVA. 60 Localized pustular psoriasis/PPPP Evidence.…”

Guidelines of care for the management of psoriasis and psoriatic arthritis

“…44 NB-UVB therapy has been used successfully in the treatment of psoriasis in pregnancy [45][46][47] and should be considered first-line therapy in pregnant patients with plaque and guttate psoriasis who need a systemic approach to …”

First trimester impetigo herpetiformis in multiparous female successfully treated with oral cyclosporine

“…These patients may present an anaesthetic challenge if operative delivery is required, particularly if mucosal involvement has occurred 11. There are case reports of other methods which been used in pregnancy in cases resistant to steroids, including narrow band ultraviolet B therapy,22 psoralen ultraviolet A,23 clofazimine24 and the antitumour necrosis factor drug infliximab in a steroid resistant case with good maternal and fetal outcome 25. Methotrexate and oral retinoids remain treatment options only in the postnatal or non-pregnant patient.…”