A Case of Generalized Pustulosis Palmaris et Plantaris

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  • OHZONO Ayaka
    Department of Dermatology, Kurume University School of Medicine
  • NANRI Aya
    Department of Dermatology, Kurume University School of Medicine
  • ABE Toshifumi
    Department of Dermatology, Kurume University School of Medicine
  • NAKAMA Takekuni
    Department of Dermatology, Kurume University School of Medicine

Bibliographic Information

Other Title
  • 全身型掌蹠膿疱症の 1 例
  • 症例 全身型掌蹠膿疱症の1例
  • ショウレイ ゼンシンガタショウセキノウホウショウ ノ 1レイ

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Abstract

<p>A 69-year-old Japanese male had pustulosis palmaris et plantaris with precordial pain. Pustules had expanded over his whole body. His condition was satisfactory and he did not have a fever during his illness. Histologically, monolocular pustules were detected under the horny layer, while the epidermis around the pustules did not have any spongiosis and there was no presence of vasculitis. His blood test showed an increase of inflammatory findings. Therefore, we suspected that the patient had focal infection, and an antimicrobial agent was administered. The eruption improved immediately. However,when it recurred, we prescribed etretinate and administered an antimicrobial agent once more. A provocation test of his tonsil was positive and enucleation of the tonsil was performed. Differential diagnosis of pustulosis palmaris et plantaris with widespread distribution of the pustules is difficult. When a focal infection is suspected, we suggest that administration of an antimicrobial agent is one of the recommended therapies.</p>

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 78 (6), 595-599, 2016

    Western Division of Japanese Dermatological Association

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