Ann Dermatol.  2008 Dec;20(4):209-211. 10.5021/ad.2008.20.4.209.

Acute Generalized Exanthematous Pustulosisafter Ingestion of Lacquer Chicken

Affiliations
  • 1Department of Dermatology, Ajou University School of Medicine, Suwon, Korea. hykang@ajou.ac.kr

Abstract

Acute generalized exanthematous pustulosis (AGEP) is an acute pustular eruption characterized by multiple small, sterile, non-follicular pustules on an erythematous and edematous base, usually accompanied by fever and neutrophilia. It is attributed to systemic drugs in over 90% of cases, mainly beta-lactam and macrolide antimicrobials. Viral infections, mercury exposure, Ginkgo biloba, and spider bites may occasionally cause the condition. We report a rare case of AGEP induced by intake of lacquer chicken in a 40-year-old man.

Keyword

Acute generalized exanthematous pustulosis; Lacquer chicken

MeSH Terms

Acute Generalized Exanthematous Pustulosis
Adult
Arachnidism
Chickens
Eating
Fever
Ginkgo biloba
Humans
Lacquer

Figure

  • Fig. 1 (A) Generalized, symmetrical erythema with overlying pustules on the trunk. (B) Numerous small pustules were more clearly visualized on the posterior thigh.

  • Fig. 2 A skin biopsy showed an intracorneal pustule with neutrophils and spongiosis. A mixed interstitial and perivascular infiltrate of neutrophils, lymphocytes, and eosinophils was present in the dermis (H&E, ×200).


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