case_images: PMC6015696_01
case_images: Clinical presentation: firm, indurated, erythematous papules, and nodules, with central pustules and vesicles on the head and scalp. Indurated papules on the palms of the hand. Erythematous pustules on the abdomen.
case_images: CRIDM2018-2648325.001.jpg
case_images: PMC6015696_01_CRIDM2018-2648325.001.jpg
case_images: fig1
case_images: Notably, a diffuse 1 cm papulopustular rash erupted over the scalp, head, neck, thorax, abdomen, and upper and lower extremities including the palmar and dorsal aspects of the hand (Figure 1).
case_images: Histopathological features. (a) Lesion of acute ruptured suppurative folliculitis. Papillary dermal edema and neutrophilic dermal infiltration. (b) Dense netrophilic infiltrate in the follicle. (c) Lesion of acute suppurative folliculitis.
case_images: CRIDM2018-2648325.002.jpg
case_images: PMC6015696_01_CRIDM2018-2648325.002.jpg
case_images: fig2
case_images: Biopsy of the pustule showed suppurative folliculitis, which is expected from a neutrophil driven process, consistent with azathioprine hypersensitivity (Figure 2).