Acute generalized exanthematous pustulosis due to unusual drugs

Authors

  • Carla Esteves Dr. Federico Abete Trauma and Emergency Hospital, Malvinas Argentinas, Province of Buenos Aires, Argentina
  • Tania Castro Dr. Federico Abete Trauma and Emergency Hospital, Malvinas Argentinas, Province of Buenos Aires, Argentina
  • Eliana Giangualano Dr. Federico Abete Trauma and Emergency Hospital, Malvinas Argentinas, Province of Buenos Aires, Argentina
  • Sandra García Dr. Federico Abete Trauma and Emergency Hospital, Malvinas Argentinas, Province of Buenos Aires, Argentina
  • María Verónica Rossi Dr. Federico Abete Trauma and Emergency Hospital, Malvinas Argentinas, Province of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/da.v29i2.2367

Keywords:

exanthematous pustulosis, drug-induced skin reaction, griseofulvin, pseudoephedrine

Abstract

Acute generalized exanthematous pustulosis (AGEP) is considered a rare drug-induced skin reaction. It manifests clinically as an acute rash associated with multiple non-follicular pustules and fever. Clinical, laboratory and histopathological criteria are used for its diagnosis and its treatment primarily involves withdrawal of the causative medicine associated or not with topical or systemic corticosteroid therapy. AGEP usually has favorable prognosis but in rare cases it may lead to severe systemic compromise. We report two patients with AGEP attributed to pseudoephedrine and griseofulvin are presented, drugs that were not reported in the Argentine literature and few reports worldwide, who had favorable evolution after treatment.

Author Biographies

Carla Esteves, Dr. Federico Abete Trauma and Emergency Hospital, Malvinas Argentinas, Province of Buenos Aires, Argentina

Resident Physician, Dermatology Service, Dr. Federico Abete Trauma and Emergency Hospital

Tania Castro, Dr. Federico Abete Trauma and Emergency Hospital, Malvinas Argentinas, Province of Buenos Aires, Argentina

Resident Physician, Dermatology Service, Dr. Federico Abete Trauma and Emergency Hospital

Eliana Giangualano, Dr. Federico Abete Trauma and Emergency Hospital, Malvinas Argentinas, Province of Buenos Aires, Argentina

Chief Resident, Dermatology Service, Dr. Federico Abete Trauma and Emergency Hospital

Sandra García, Dr. Federico Abete Trauma and Emergency Hospital, Malvinas Argentinas, Province of Buenos Aires, Argentina

Dermopathologist, Pathological Anatomy Service, Dermatology Service, Dr. Federico Abete Trauma and Emergency Hospital

María Verónica Rossi, Dr. Federico Abete Trauma and Emergency Hospital, Malvinas Argentinas, Province of Buenos Aires, Argentina

Head of Service, Dermatology Service, Dr. Federico Abete Trauma and Emergency Hospital

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Published

2023-08-01

Issue

Section

Original Articles