case_images: PMC11830497_01
case_images: Erythematous pustular lesions over the chest.
case_images: cureus-0017-00000077595-i01.jpg
case_images: PMC11830497_01_cureus-0017-00000077595-i01.jpg
case_images: FIG1
case_images: Low-density fluid collection measuring up to 2.7 cm primarily localized to the left sternoclavicular region. There is extension of stranding/inflammation in the pre-vascular space.
case_images: cureus-0017-00000077595-i02.jpg
case_images: PMC11830497_01_cureus-0017-00000077595-i02.jpg
case_images: FIG2
case_images: H and E stain under 5X magnification showing most of the punch biopsy with subcorneal pustules. . H and E: hematoxylin and eosin stain.
case_images: cureus-0017-00000077595-i03.jpg
case_images: PMC11830497_01_cureus-0017-00000077595-i03.jpg
case_images: FIG3
case_images: A punch biopsy was also performed with pathology confirming the diagnosis of acute generalized exanthematous pustulosis (Figures 3, 4, 5). 
case_images: H and E stain under 10X magnification.. (A) a better view of subcorneal pustules and presence of inflammatory cells. (B) there are perivascular lymphocytic infiltrates in the dermis.. H and E: hematoxylin and eosin stain.
case_images: cureus-0017-00000077595-i04.jpg
case_images: PMC11830497_01_cureus-0017-00000077595-i04.jpg
case_images: FIG4
case_images: A punch biopsy was also performed with pathology confirming the diagnosis of acute generalized exanthematous pustulosis (Figures 3, 4, 5). 
case_images: H and E stain under 40X magnification.. (A) showing subcorneal collection with neutrophils. There are areas of spongiosis in the deeper portion of the epidermis. (B) eosinophils are seen in AGEP but are not essential for diagnosis.. H and E: hematoxylin and eosin stain.
case_images: cureus-0017-00000077595-i05.jpg
case_images: PMC11830497_01_cureus-0017-00000077595-i05.jpg
case_images: FIG5
case_images: A punch biopsy was also performed with pathology confirming the diagnosis of acute generalized exanthematous pustulosis (Figures 3, 4, 5). 