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A Case of Pustulosis Palmaris et Plantaris that Began as Generalized Pustular Eruption
Yoko Yoshida, Youichi Nishimura and Toshihiro Tanaka
Department of Dermatology, Tenri Hospital, Tenri, Japan.
A 65-year-old woman suddenly developed a widespread sterile pustular outbreak with high pyrexia. Many pustules appeared on her hands, including both the dorsal and the palmer side, and a few pustule appeared on her trunk and arms in the pattern of acute generalized pustular bacterid. Histopathology of the eruption showed subcorneal pustules. The eruption and pyrexia did not resolve with any of several antibiotics and NSAIDs, but resolved with the oral etretinate. Thereafter, pustules and scaly erythema remained on the arch of the foot and thenar of the palm, typical of pustulosis palmaris et plantaris.
key words: acute generalized pustular bacterid; pustulosis palmaris et plantaris
Received September 30, 2002; Accepted for publication December 10, 2002
Reprint requests to: Yoko Yoshida, M.D., Ph.D., Department of Dermatology, Tenri Hospital, 200, Mishima, Tenri-city, Nara 632-8552, Japan.
J Dermatol 30 (2): 141-145, 2003
Japanese Dermatological Association
http://www.dermatol.or.jp
