1998
DOI: 10.1159/000017938
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Pyodermitis of Genital Areas: An Atypical Manifestation of Eosinophilic Pustulosis of Childhood

Abstract: Eosinophilic pustulosis of the scalp was first described in 1984. It has also been described in other sites than the scalp. We report a case in which the lesions exclusively involved the genitals. A 4-month-old boy presented with papulopustular lesions of the genitals in the form of pyodermitis with a favourable course over several days but which subsequently recurred. A smear of a pustule revealed no signs of scabies or viral, fungal or bacterial infection. Histology showed a non-follicular eosinophilic pustu… Show more

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Cited by 5 publications
(2 citation statements)
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“…[2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Twelve of the previously published cases were excluded, 13,20-27 some of which had already been questioned by other authors 28 : 1 atypical case on both clinical and histologic grounds (genital location exclusively, dermal infiltrate rich in neutrophils in 1 biopsy specimen, and in lymphocytes and macrophages in another) 25 ; 3 cases associated with immunodeficiency 26,27 ; 1 patient who developed sepsis with hepatic and pulmonary involvement in whom immunodeficiency was not ruled out 13 ; and 1 exceptional case in which the eruption did not recur, the histologic findings were inconclusive, and that was treated with granulocyte-colony stimulating factor (G-CSF) because of the extraordinarily high eosinophilia. 22 There were 6 more cases that were also excluded because of their atypical manifestations: a 4-year-old child who had recurrent vesicles and pustules along with erythema multiformeelike lesions on the abdomen and lower limbs that might have corresponded to arthropod bites 23 ; an 8-yearold boy with mucosal involvement, mixed dermal inflammatory infiltrate with eosinophils and neutrophils, and good response to dapsone in whom linear IgA was not excluded 20 ; an 11-year-old girl who presented with an isolated annular plaque on the cheek showing a dense eosinophilic infiltrate and necrotizing vasculitis of the small vessels, 24 which is not a feature of EPFI; a 5-year-old girl with ulcerated lesions on the lower legs that resolved in 2 weeks 21 ; and 2 more patients who presented with crops of pustular lesions on the trunk and lower limbs for 3 months' duration who demonstrated hypersensitivity to Dermatophagoides pteronyssinus and elevated IgE levels.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…[2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Twelve of the previously published cases were excluded, 13,20-27 some of which had already been questioned by other authors 28 : 1 atypical case on both clinical and histologic grounds (genital location exclusively, dermal infiltrate rich in neutrophils in 1 biopsy specimen, and in lymphocytes and macrophages in another) 25 ; 3 cases associated with immunodeficiency 26,27 ; 1 patient who developed sepsis with hepatic and pulmonary involvement in whom immunodeficiency was not ruled out 13 ; and 1 exceptional case in which the eruption did not recur, the histologic findings were inconclusive, and that was treated with granulocyte-colony stimulating factor (G-CSF) because of the extraordinarily high eosinophilia. 22 There were 6 more cases that were also excluded because of their atypical manifestations: a 4-year-old child who had recurrent vesicles and pustules along with erythema multiformeelike lesions on the abdomen and lower limbs that might have corresponded to arthropod bites 23 ; an 8-yearold boy with mucosal involvement, mixed dermal inflammatory infiltrate with eosinophils and neutrophils, and good response to dapsone in whom linear IgA was not excluded 20 ; an 11-year-old girl who presented with an isolated annular plaque on the cheek showing a dense eosinophilic infiltrate and necrotizing vasculitis of the small vessels, 24 which is not a feature of EPFI; a 5-year-old girl with ulcerated lesions on the lower legs that resolved in 2 weeks 21 ; and 2 more patients who presented with crops of pustular lesions on the trunk and lower limbs for 3 months' duration who demonstrated hypersensitivity to Dermatophagoides pteronyssinus and elevated IgE levels.…”
Section: Resultsmentioning
confidence: 99%
“…5,15 IgE levels were available in only 13 patients 2,3,5,6,10 ; they were very high in 1, 10 a patient who showed hypersensitivity to the dust mite D pteronyssinus, and only slightly elevated in 2. 5 The age at resolution ranged from 4 months to 9 years (mean 25 with intervals spanning from 1 to 12 weeks, with a time of resolution ranging from 7 to 30 days. Over 80% of children experienced resolution by 3 years of age (Fig 4).…”
Section: Resultsmentioning
confidence: 99%