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Widespread Erythematous Plaques in a Multigravid Female

When dermatological eruptions present diagnostic uncertainty, there is cause for concern, especially when treating the mother of an unborn child. While cutaneous outbreaks in pregnancy can be benign, suspicious disseminating rashes should warrant further investigation. We present a case of generalized pustular psoriasis of pregnancy that manifested in an atypical fashion and could have been overlooked without the utilization of biopsy and histopathological analysis. Due to reports of unfavorable maternal-fetal outcomes, prompt evaluation and treatment is critical.