Concluded Case

#THIS CASE POST STREPTOCOCCAL PUSTULOSIS.

47 YEAR OLD MEN PRESENTED TO THE EMERGENCY DEPARTMENT WITH A 3RD DAY HISTORY OF A PUSTULAR RASH THAT HAD DEVELOPED ON BOTH HANDS. History ONE WEEK BEFORE PRESENTATION , HE HAD STARTED TREATMENT WITH PENICILLIN V POTASSIUM FOR PHARYNGITIS . A THORAT - SWAB CULTURE GREW GROUP A BETA - STREPTOCOCCUS . Physical Examination PHYSICAL EXAMINATION REVEALED MULTIPLE PUSTULES SURROUNDED BY AN ERYTHEMATOUS RIM ON THE PALMS OF BOTH HANDS AND ON THE SOLES OF BOTH FEET. AN EXAMINATION OF THE JOINTS WAS REMARKABLE. Management So please suggest doctor's ?? Treatment and Diagnosis... Rx and dx ?

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Concluded answer

Post-Streptococcal disorder with an elevated antistreptolysin titre... Acute generalized exanthematous pustulosis (AGEP) is a type of severe cutaneous adverse reaction that is characterized by the rapid development of nonfollicular, sterile pustules on an erythematous base. In the majority of the cases, the development of AGEP is attributed to drugs, especially antibiotics... Treatment also can symptomatically include topical or systemic corticosteroids and antipyretics. Hydroxychloroquine (HCQ) can be a culprit of AGEP with a prolonged recovery course.

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Post-Streptococcal disorder with an elevated antistreptolysin titre... Acute generalized exanthematous pustulosis (AGEP) is a type of severe cutaneous adverse reaction that is characterized by the rapid development of nonfollicular, sterile pustules on an erythematous base. In the majority of the cases, the development of AGEP is attributed to drugs, especially antibiotics... Treatment also can symptomatically include topical or systemic corticosteroids and antipyretics. Hydroxychloroquine (HCQ) can be a culprit of AGEP with a prolonged recovery course.

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Extensive gram positive bacterial infection Pustules on hand Adv T. Linezolid 600 mg one tablet twice daily for 10 days Kindly check for diabetes and B 12 deficiency, if found need to be aggressively treated

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Palmoplanter pustulosis dermatitis? Erythematous palms? Management.. Topical steroids. These creams, used with a sterile bandage or vinyl dressing, are anti-inflammatory treatments. ... Coal tar. This ointment can help heal blisters and make them less itchy. ... Acitretin tablets. Made from vitamin A, these can help you manage PPP. ... Phototherapy or PUVA. Corticosteroid (apply to the skin) Synthetic vitamin D (apply to the skin) Phototherapy (light treatments) Corticosteroid and salicylic acid (apply to the skin)

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? PALMOPLANTER PUSTULOSIS .. ? PUSTULAR PSORIASIS ..

Tnx Md Altaf Hussain
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Classic case of KAPOSI VARICELLIFORM ERUPTION(ECZEMA HERPETICUM) Reason: Vesiculopustules often evolve into crusted, hemorrhagic, and punched-out skin erosions that may enlarge and coalesce form extensive denuded areas which are more likely to get a bacterial infection. AGEP or Pompholyx doesn't leave those hemorrhage, crusted punched out ulcers

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ASO titre, Pus C/ S test(Palm pustules), CRP & CBC Antibiotic as per sensitivity test Antiallergic Betadine oint to apply locally

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Poststreptococcal pustulosis. Topical steroids.. reduces inflammation. Look for leukocytosis, CRP...

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Dx.Palmoplantar pustulosis Antibiotic induced.

Merc sol anthraxinum

Post streptococcal disorder Treatment Puva therapy TabAugmentin Oral Antiallergens

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