{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T02:00:57Z","timestamp":1773799257050,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T00:00:00Z","timestamp":1689292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Experimental Dermatology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Generalized pustular psoriasis (GPP) is a form of pustular psoriasis that is distinguished by recurring or persistent outbreaks of non\u2010acral primary sterile pustules. These eruptions can occur with or without systemic inflammation. Various factors, such as medications, stress and viral infection, have been identified as potential triggers for GPP flares. While several cases have detailed GPP\u2010like eruptions in the setting of coronavirus disease 2019 (COVID\u201019) infection, few have explored the interplay between infection and biologic use in the development of GPP. In this case, we detail the history and management of a 45\u2010year\u2010old male patient with a prior history of spondyloarthropathy managed on a tumour necrosis factor\u2010\u03b1 inhibitor and recent COVID\u201019 infection presenting with a new, spreading pustular rash.<\/jats:p>","DOI":"10.1111\/exd.14889","type":"journal-article","created":{"date-parts":[[2023,7,15]],"date-time":"2023-07-15T02:39:51Z","timestamp":1689388791000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Generalized pustular psoriasis\u2010like widespread eruption following\n                    <scp>COVID<\/scp>\n                    \u201019 infection in a patient with spondyloarthropathy on adalimumab"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0907-1310","authenticated-orcid":false,"given":"Kanika","family":"Kamal","sequence":"first","affiliation":[{"name":"Department of Dermatology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grant J.","family":"Riew","sequence":"additional","affiliation":[{"name":"Department of Dermatology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baraa","family":"Hijaz","sequence":"additional","affiliation":[{"name":"Department of Dermatology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon M.","family":"Helfgott","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Rheumatology Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alvaro C.","family":"Laga","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Pathology Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinod E.","family":"Nambudiri","sequence":"additional","affiliation":[{"name":"Department of Dermatology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts 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