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Pustular psoriasis and drug-induced pustulosis.
G Ital Dermatol Venereol. 2011 Apr; 146(2):155-8.GI

Abstract

We report the case of a 65-year-old female patient that has suffered several flares of exanthematous pustulosis, some of them attributable to pustular psoriasis and others that were drug-induced, resembling acute generalized exanthematous pustulosis. In particular, we describe two severe flares that were induced by ciprofloxacin. Patch tests yielded positive results to ciprofloxacin and to other quinolones and reproduced the original lesional pattern both clinically and histologically. We discuss the diagnostic challenge that exanthematous pustulosis represents and the value of patch testing in this setting, as a helpful tool to assess drug participation in these eruptions.

Authors+Show Affiliations

Department of Dermatology, University Hospital of Coimbra, Coimbra, Portugal. david.serra.fernandes@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21505400

Citation

Serra, D, et al. "Pustular Psoriasis and Drug-induced Pustulosis." Giornale Italiano Di Dermatologia E Venereologia : Organo Ufficiale, Societa Italiana Di Dermatologia E Sifilografia, vol. 146, no. 2, 2011, pp. 155-8.
Serra D, Gonçalo M, Mariano A, et al. Pustular psoriasis and drug-induced pustulosis. G Ital Dermatol Venereol. 2011;146(2):155-8.
Serra, D., Gonçalo, M., Mariano, A., & Figueiredo, A. (2011). Pustular psoriasis and drug-induced pustulosis. Giornale Italiano Di Dermatologia E Venereologia : Organo Ufficiale, Societa Italiana Di Dermatologia E Sifilografia, 146(2), 155-8.
Serra D, et al. Pustular Psoriasis and Drug-induced Pustulosis. G Ital Dermatol Venereol. 2011;146(2):155-8. PubMed PMID: 21505400.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pustular psoriasis and drug-induced pustulosis. AU - Serra,D, AU - Gonçalo,M, AU - Mariano,A, AU - Figueiredo,A, PY - 2011/4/21/entrez PY - 2011/4/21/pubmed PY - 2011/7/9/medline SP - 155 EP - 8 JF - Giornale italiano di dermatologia e venereologia : organo ufficiale, Societa italiana di dermatologia e sifilografia JO - G Ital Dermatol Venereol VL - 146 IS - 2 N2 - We report the case of a 65-year-old female patient that has suffered several flares of exanthematous pustulosis, some of them attributable to pustular psoriasis and others that were drug-induced, resembling acute generalized exanthematous pustulosis. In particular, we describe two severe flares that were induced by ciprofloxacin. Patch tests yielded positive results to ciprofloxacin and to other quinolones and reproduced the original lesional pattern both clinically and histologically. We discuss the diagnostic challenge that exanthematous pustulosis represents and the value of patch testing in this setting, as a helpful tool to assess drug participation in these eruptions. SN - 0392-0488 UR - https://www.unboundmedicine.com/medline/citation/21505400/Pustular_psoriasis_and_drug_induced_pustulosis_ L2 - http://www.minervamedica.it/index2.t?show=R23Y2011N02A0155 DB - PRIME DP - Unbound Medicine ER -