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Generalized pustular psoriasis‐like eruptions induced after the first use of adalimumab in the treatment of psoriatic arthritis

Dear Editor, A 35-year-old man was diagnosed as having psoriasis at a different hospital, on the basis of the clinical features of scaly, red, dry skin patches on the trunk and extremities, pitting of fingernails, and histological confirmation of psoriasiform hyperkeratosis in the lesions. His recent primary clinical concerns included inflamed and swollen proximal interphalangeal (PIP) joints and deformities of the distal interphalangeal (DIP) finger joints. Radiographically, joint space narrowing and joint erosions were observed. Hematological and biochemical parameters, chest radiography and serological tests