title: A severe case of erythrodermic psoriasis associated with advanced nail and joint manifestations: a case report.
abstract: BACKGROUND
  Erythrodermic psoriasis is a rare generalized clinical presentation of psoriasis in children and adults. Its systemic involvement and a diverse range of clinical findings in the joint and nails are commonly described. A high index of suspicion and an exhaustive differential diagnosis involving other causes of erythroderma should be initially considered.
  
  
  METHODS
  We present the case of a 9-year-old native Hispanic girl with severe erythrodermic psoriasis associated with uncommon advanced nail and joint manifestations. Our patient showed an excellent response to methotrexate medication.
  
  
  CONCLUSIONS
  This case shows clinical features not commonly described or reported in severe cases of erythrodermic psoriasis, including severe and rare nail and arthritic findings in a pediatric scenario.
authors.affiliation: Department of General Pediatrics, Centro Pediatrico Albina Patiño, Cochabamba, Bolivia. carteran79@hotmail.com.
authors.forename: Carlos G
authors.initials: CG
authors.lastname: Teran
authors.forename: Carlos N
authors.initials: CN
authors.lastname: Teran-Escalera
authors.forename: Carola
authors.initials: C
authors.lastname: Balderrama