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<font face="TimesNewRoman,Bold" size="1"><p align="left"><strong>BACKGROUND: </strong><font face="TimesNewRoman" size="2">Pustular psoriasis is a rare form of psoriasis in childhood. The prevalence of psoriasis in various parts of the world varies from 0.1% to 3% and the most frequently observed variant is the plaque type, followed by the guttate psoriasis.</font></p></font><font face="TimesNewRoman,Bold" size="1"><p align="left"><strong>CASE REPORT: </strong><font face="TimesNewRoman" size="2">A 4-year-old boy with a history of repeated self-limited arthritis, onycholysis, recurrent erythematous skin, diaper rash, fever and pustular lesions, had several hospital admissions with no benefits. After a 2-year delay in the diagnosis, he was treated as a case of pustular psoriasis which was shown by skin biopsy.</font></p></font><p align="left"><font face="TimesNewRoman" size="1"><strong>KEY WORDS</strong>: </font><font face="TimesNewRoman" size="2">Pustular psoriasis, arthritis, children.</font></p>