Their observations are extremely interesting, and deepen the knowledge of the subject of
systemic effects of skin diseases. We would like to add another patient to their list of 6
published case reports to support their opinion of a higher than reported incidence of acute
respiratory distress syndrome as a complication of severe forms of psoriasis. Two years ago,
we described2 a 48-year-old woman with generalized pustular psoriasis who developed
acute respiratory distress syndrome. She had no evidence of infection or heart failure …