GENERALIZED PUSTULAR RASH ASSOCIATED WITH PRIMARY ATYPICAL PNEUMONIA

Autor: Matsubara, Motoo, Ueda, Keiichi, Kishimoto, Saburo, Yasuno, Hirokazu, Ikada, Junji, Sakagami, Sachiko, Morioka, Yoshihito
Zdroj: The Journal of Dermatology; June 1982, Vol. 9 Issue: 3 p197-202, 6p
Abstrakt: After the acute onset of primary atypical pneumonia, a 4‐year‐old girl suddenly developed a widespread, sterile, pustular eruption with predilection toward the distal parts of the extremities. There was no involvement of the muco‐ocular area. Histological and electron microscopical examinations revealed intraepidermal pustule formation containing neutrophils and eosinophils, and perivascular infiltration of lymphocytes, histiocytes, neutrophils and eosinophils. These clinical findings are similar to those of Tan's “acute generalized pustular bacterid” and Teisch's “vesiculopustular eruption with mycoplasma infection”. Serological examinations, including complement fixation test, cold agglutination test, and passive hemagglutination test, confirmed a Mycoplasma pneumoniaeinfection. It is concluded that Mycoplasma pneumoniaeinfection should be considered in patients with bacterid‐like rashes who do not have streptococcal infections.
Databáze: Supplemental Index