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November 1960

Generalized Pustular Dermatosis: Report of a Case

Author Affiliations


From the Dermatology Section, Medical Service, Veterans Administration Hospital, Bronx, New York.

Arch Dermatol. 1960;82(5):758-761. doi:10.1001/archderm.1960.01580050100015

Introduction  Recently, we saw a case of a generalized pustular dermatosis which impressed us at first glance as being either dermatitis herpetiformis pustulosa or subcorneal pustular dermatosis. Close observation of this case raised some interesting points with regard to the inter-relationships of the pustular dermatoses.

Report of Case  A 37-year-old man was admitted to the Bronx Veterans Administration Hospital on March 7, 1959, because of an acute, generalized, pustular eruption. There was an extensive medical history which included a nephrectomy for hydronephrosis, an episode of pneumonia, and thrombophlebitis. In November, 1957, he was hospitalized because of a pulmonary infarct secondary to an embolus. In December, 1957, the patient developed pustular lesions on the palms and soles associated with papulopustular lesions of the anterior chest and forehead. Cultures were sterile. The pustules ruptured and dried, and the overlying epidermis desquamated. The condition improved until discharge in January, 1958. Scattered pustules or