Pustular Psoriasis & Acitretin

a young female of child bearing age diagnosed as a case of Pustular Psoriasis & concommitant coomb's positive auto-immune hemolytic anemia had marked derangement of Liver function when put on Methotrexate 7.5 mg a week. Upon withdrawing the offending agent, the elevated enzymes returned to normal but AST & Gamma GT which are still elevated two folds the normal. There is no H/O alcohol intake present & past. She was erythrodermic & she was started Hydrocortisone in injection form & then switched to oral Prednisone 30 mg/d & slowly tapered down, only to watch her pustular eruption return back extensively & so her erythroderma. In the context of her two fold elevation of AST & Gamma GT, Would it be a wise option to commence Acitretin? She is mildly anemic, her fasting lipid profile is absolutely WNL & total proteins are in an acceptable range & non-reactive to Hep.B & C. Other systems are unremarkable.  

[CalGal]

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