case_images: PMC11722662_01
case_images: Sterile pin-point nonfollicular pustules on an erythematous base over the right upper to middle back (A). Similar lesions over the left flank and lower abdomen, with underlying erythema (B and C).
case_images: gr1.jpg
case_images: PMC11722662_01_gr1.jpg
case_images: fig1
case_images: On examination, disseminated non-follicular pinhead-sized pustules were seen over the trunk and limbs on a background of oedematous erythema (Fig 1) with no mucosal involvement.
case_images: Histology slide of AGEP from a right flank skin punch biopsy (A). Pustule with neutrophils within the stratum corneum (B). Superficial perivascular dermal lymphohistiocytic infiltrate admixed with rare eosinophils and occasional neutrophils, and dermal lymphohistiocytic infiltrate (C). A-C, Hematoxylin and eosin, original magnification: 100x, insets magnification 200x. AGEP, Acute generalized exanthematous pustulosis.
case_images: gr2.jpg
case_images: PMC11722662_01_gr2.jpg
case_images: fig2
case_images: There was a mild superficial perivascular dermal lymphohistiocytic infiltrate admixed with rare eosinophils and occasional neutrophils (Fig 2).