### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear sir,My name is Vithal Joshi, and I am of 37 years aged male. I am suferring since last 12 years  pastul Psoriasis. It effects on my whole body, having pus in them and finally it flows out from the patches. It gives a very bed smell. Weekness is also attached during this period. Weight loss is also occures. It attacks on me, in any season. Please guide / help me.thanks.

### output:

Hello. Thank you for writing to us at Chat Doctor 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 with Chat Doctor. 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, Accretion 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 management 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 what is necessary. Regards