Development of Folliculitis in a Patient with Recalcitrant Pustular Psoriasis Following Acitretin Treatment: A Case Report

A 37-year-old woman with recalcitrant pustular psoriasis developed folliculitis, a rare side effect, after nearly 1 year of treatment with acitretin (50 mg daily). Despite partial resolution of psoriasis with acitretin, she presented with pruritic papules on her thighs and forearms. The folliculitis was successfully treated with skin dressing and antibiotics. This case highlighted the importance of considering folliculitis in the differential diagnosis of papular eruptions in patients on high-dose acitretin.