Acute generalized exanthematous pustulosis with erythema multiforme-like lesions

Jeng Hsien Lin, Hamm Ming Sheu, Yu-Yun Lee

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22 引文 斯高帕斯(Scopus)

摘要

Acute generalized exanthematous pustulosis (AGEP) resembles generalized pustular psoriasis, but may manifest targetoid lesions, purpura, and blisters in addition to pustules. We describe a case of AGEP with erythema multiforme (EM)-like features in a 35-year-old woman who presented with acute onset of high fever and a strikingly polymorphic eruption consisting of numerous tiny pustules on erythematous bases, marked facial edema, oral and genital erosions, targetoid vesicular and purpuric lesions, pustules in string-of-pearl configuration and ring-like vesicles. The histology revealed, in addition to subcorneal pustules, vacuolar interface dermatitis with involvement of eccrine glands, and microabscesses in pilosebaceous structures. Systemic corticorsteroid and antibiotics were initiated, resulting in rapid resolution without recurrence. Recognition of EM-like lesions on a background of generalized pustular eruption could facilitate the diagnosis of AGEP and the institution of appropriate treatment.

原文English
頁(從 - 到)475-478
頁數4
期刊European Journal of Dermatology
12
發行號5
出版狀態Published - 2002 9月 1

All Science Journal Classification (ASJC) codes

  • 皮膚科

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