Psoriasis and hypoparathyroidism

ABSTRACT

A 50- year-old white woman was admitted because of extensive eruptive skin and mucosal lesions and nail involvement associated with fatigue and pallor of two weeks duration. She had a history of thyroidectomy and hypocalcemic crisis. Generalized pustular psoriasis [GPP] was confirmed by biopsy. She also had nail hyperkeratosis associated with paronychia, palpable axillary lymphadenopathy, positive Chvostek's sign, bilateral cataracts and fever. 48 hours after calcium infusion her fever and other symptoms improved. Skin, mucosal and nail lesions also gradually subsided. We concluded that serum calcium should be evaluated in all cases of GPP