Acute generalised exanthematous pustulosis: An update

Autor: Aarti Sarda, Abhishek De, Dayamay Pal, Projna Biswas, Sudip Kumar Das
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Indian Journal of Dermatology, Vol 63, Iss 1, Pp 22-29 (2018)
Indian Journal of Dermatology
ISSN: 1998-3611
0019-5154
Popis: Acute generalised exanthematous pustulosis (AGEP) is a severe cutaneous adverse reaction and is attributed to drugs in more than 90% of cases. It is a rare disease, with an estimated incidence of 1-5 patients per million per year. The clinical manifestations characterised by the rapid development of sterile pustular lesions, fever and leucocytosis. Number of drugs has been reported to be associated with AGEP, most common being the antibiotics. Histopathologically there is intraepidermal pustules and papillary dermal oedema with neutrophilic and eosinophilic infiltrations. Systemic involvement can be present in more severe cases. Early diagnosis with withdrawal of the causative drug is the most important step in the management. Treatment includes supportive care, prevention of antibiotics and use of a potent topical steroid.
Databáze: OpenAIRE