title: Telmisartan aggravates pustular psoriasis.
abstract: Pustular psoriasis is characterized by abrupt onset of macroscopic pustules associated with erythema and symptoms of burning pain and constitutional symptoms. There are several precipitating factors, both physiological such as pregnancy and routinely prescribed drugs like antihypertensives, antifungals, corticosteroids and progesterone. We present a case of a 50-year-old male patient with pustular psoriasis, well controlled on oral methotrexate, who presented with sudden exacerbation of pustular psoriasis following the use of telmisartan. This case is presented due to the absence of prior reports of telmisartan aggravating pustular psoriasis.
authors.affiliation: Department of Dermatology, Venereology and Leprology, Sri Manakula Vinayagar Medical College and Hospital, Puduchery, India.
authors.forename: Subramaniam
authors.initials: S
authors.lastname: Keerthi
authors.affiliation: Department of Dermatology, Venereology and Leprology, Sri Manakula Vinayagar Medical College and Hospital, Puduchery, India.
authors.forename: Murugaiyan
authors.initials: M
authors.lastname: Rangaraj
authors.affiliation: Department of Dermatology, Venereology and Leprology, Sri Manakula Vinayagar Medical College and Hospital, Puduchery, India.
authors.forename: Kaliaperumal
authors.initials: K
authors.lastname: Karthikeyan
keywords: Angiotensin II receptor blocker; drug induced; hypertension; psoriasis