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- W3136362653 abstract "Fig 1. By Arturo Dominguez, MD; Whitney Gao, MD; and Roselynn Nguyen, MD Fig 2. By Arturo Dominguez, MD; Whitney Gao, MD; and Roselynn Nguyen, MD A 29-year-old woman presented with fever and worsening chronic painful rash with new pustules on her back. She was previously treated with antibiotics, antifungals, and systemic steroids with minimal improvement. The patient was ill-appearing, febrile, and tachycardic. Skin examination was significant for erythroderma with non-follicular-based pustules coalescing into annular plaques with “sunflower-like” configuration on her back, chest, and legs (Fig 1A/B). Labs were significant for leukocytosis with neutrophilic predominance. Bacterial culture swabs taken prior to initiation of antibiotics were negative. Biopsies of lesional and perilesional skin were submitted for histopathological exam and direct immunofluorescence. Serum was submitted for detection of IgG and IgA autoantibodies by indirect immunofluorescence microscopy (IIF) (Fig 2, IgG shown) and enzyme-linked immunosorbent assay (ELISA).View Large Image Figure ViewerDownload Hi-res image Download (PPT) What is the most likely diagnosis?A.Sneddon-Wilkinson diseaseB.Tinea corporisC.Pemphigus foliaceous (PF)D.Generalized pustular psoriasisE.IgA pemphigus Click here to view disclosures, take the quiz, and claim CME credit. The authors have no conflicts of interest to declare. CorrectionJAAD Case ReportsVol. 11PreviewGao W, Nguyen R, Dominguez AR. Erythroderma and annular pustular plaques. JAAD Case Rep. 2021;9:105-6. Full-Text PDF Open Access" @default.
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- W3136362653 date "2021-03-01" @default.
- W3136362653 modified "2023-10-16" @default.
- W3136362653 title "Erythroderma and Annular Pustular Plaques" @default.
- W3136362653 doi "https://doi.org/10.1016/j.jdcr.2020.10.038" @default.
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