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We present a case of generalised pustulosis in a pregnant woman at 30 weeks' gestation and describe the clinico-pathological challenges in obtaining a diagnosis of GPPP. Furthermore, we provide evidence from cardiotocography and ultrasound of evolving fetal compromise and describe how intensive management can facilitate a positive maternal\u2013fetal outcome. <\/jats:p>","DOI":"10.1177\/1753495x221149134","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T07:07:31Z","timestamp":1673420851000},"page":"236-239","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pustular psoriasis of pregnancy: A rare cause of placental insufficiency"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5552-7040","authenticated-orcid":false,"given":"Daniel","family":"McStay","sequence":"first","affiliation":[{"name":"Department of Obstetrics & Gynaecology, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandy","family":"McBride","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharleen","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Sutton","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amber","family":"Saleem","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinita","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynaecology, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,1,10]]},"reference":[{"key":"bibr1-1753495X221149134","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/979635"},{"key":"bibr2-1753495X221149134","doi-asserted-by":"publisher","DOI":"10.3109\/00016349509008946"},{"key":"bibr3-1753495X221149134","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S125784"},{"key":"bibr4-1753495X221149134","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1352"},{"key":"bibr5-1753495X221149134","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0560.2001.028003113.x"},{"key":"bibr6-1753495X221149134","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1961.01580070125014"},{"key":"bibr7-1753495X221149134","first-page":"292","volume":"20","author":"Samdani AJ","year":"2004","journal-title":"Pak J Med Sci"},{"key":"bibr8-1753495X221149134","doi-asserted-by":"publisher","DOI":"10.1177\/1753495X15626623"},{"key":"bibr9-1753495X221149134","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/260928"},{"key":"bibr10-1753495X221149134","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2009.03833.x"},{"key":"bibr11-1753495X221149134","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0560.2010.01612.x"},{"key":"bibr12-1753495X221149134","doi-asserted-by":"publisher","DOI":"10.1007\/s40264-013-0034-x"},{"key":"bibr13-1753495X221149134","unstructured":"Kondo R, Ara\u00fajo F, Pereira A, et al. 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