A Plethora of Pustules: Acute Generalized Exanthematous Pustulosis

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A Plethora of Pustules: Acute Generalized Exanthematous Pustulosis Mindy M. Sampson, DO, Olga Klinkova, MD, MS, Julie Vitko, MD, Beata Casanas, DO The American Journal of Medicine Volume 131, Issue 6, Pages 639-641 (June 2018) DOI: 10.1016/j.amjmed.2018.01.018 Copyright © 2018 Elsevier Inc. Terms and Conditions

Figure 1 The patient's right hand was covered with erythematous macules. The American Journal of Medicine 2018 131, 639-641DOI: (10.1016/j.amjmed.2018.01.018) Copyright © 2018 Elsevier Inc. Terms and Conditions

Figure 2 Diffuse erythema, numerous vesicles, and a large area of denuded skin marked the patient's right lower leg. The American Journal of Medicine 2018 131, 639-641DOI: (10.1016/j.amjmed.2018.01.018) Copyright © 2018 Elsevier Inc. Terms and Conditions

Figure 3 Pathologic examination of a skin biopsy disclosed intraepidermal neutrophils and pustule formation. Both are denoted with arrows. The American Journal of Medicine 2018 131, 639-641DOI: (10.1016/j.amjmed.2018.01.018) Copyright © 2018 Elsevier Inc. Terms and Conditions

Figure 4 Fibrinoid necrosis and leukocytoclasia, both indicated with arrows, were also identified within the biopsy specimen. The American Journal of Medicine 2018 131, 639-641DOI: (10.1016/j.amjmed.2018.01.018) Copyright © 2018 Elsevier Inc. Terms and Conditions