Disseminated pustules since 2 months

5 month old male child presented with disseminated pustules since 2 months. Pustules not presented on face. Mother claimed the presentation occured after DTap,HiB, Polio vaccination during 2 months clinic visit. Boy still on breastfeeding, uneventful during birth, weight and height at 50% percentile, no problem in urinating and bowel movement. No loss of appetite. Afibrile. Child appear active and attentive. Both parents are non smoker. Mother has egg allergies. What could be the diagnosis? Am considering eczema or psoriasis.

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DD Acute Generalized Exanthematous Pustulosis ( AGEP) Acute generalized psoriatic Pustulosis ( AGP) Pus culture and blood culture may be done to rule out bacterial infections . Since mother has allergies consider Papular urticaria due to insect bite / drugs ( vaccination )

IT'S A..CASE OF.. ? INFANTILE PUSTULAR DERMATOSIS.. ? STAPHYLO AUREUS PYODERMA .. ? INFANTILE ATOPIC DERMATITIS..

Tnx Dr Ashok Leel sir
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Strptococcal induced dermititis Azithromycin suspension Antiinflamatory suspension Locally fucidin oint

Thanx dr Pushkar ji Bhomia
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* Psoriasis Needs further investigation and evaluation to conclude and treatment plan. Reassurance and counciling required.

Thanks Dr Shivraj Agarwal
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Psoriasis Impetigo Contagiosum

Ddx: infantile pustular dermatitis, insect bites with secondary infection.

Psoriasis Impetigo

? Impetigo contagious ? infantile pustular dermatosis ? Posriasis

Dermatitis ( Bacterial)

Drug allergy / Psoriasis

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