Zusammenfassung
A pustular rash is defined as the occurrence of a rash that is composed of pustular lesions. A pustule is a vesicle or bulla containing purulent material. It varies in size and may occur at different levels within the epidermis: sub-corneal, intra-epidermal, or basement membrane zones.
When the pus is contained within the dermis, the lesion is called an abscess or furuncle. If it is deep and dissects through tissue planes it is called a carbuncle. The pustules may or may not be sterile and are normally filled with neutrophils.
This monograph covers purely pustular rashes as well as vesicular eruptions that develop into pustular rashes.
Differentialdiagnose
- Common
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- Impetigo
- Folliculitis caused by Pseudomonas
- Folliculitis caused by Staphylococcus aureus
- Pityrosporum folliculitis
- Herpes simplex virus
- Dermatophytosis: tinea barbae
- Dermatophytosis: tinea cruris
- Dermatophytosis: tinea pedis
- Dermatophytosis: tinea corporis
- Acne vulgaris
- Eosinophilic folliculitis (Ofuji's syndrome/disease)
- Sub-corneal pustular dermatosis (Sneddon-Wilkinson's disease)
- Infantile acropustulosis (IA)
- Fire ant bites
- Acrodermatitis continua (pustular acrodermatitis, acrodermatitis continua suppurativa Hallopeau, dermatitis perstans, and dermatitis repens Crocker)
- Pustular drug rash secondary to epidermal growth factor receptor (EGFR) inhibitors
- Acute generalised exanthematous pustulosis (AGEP)
- Generalised pustular psoriasis (von Zumbusch type)
- Transient neonatal pustular melanosis
- Pustulosis palmaris et plantaris (PPP)
- Uncommon
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- Gram-negative folliculitis
- Folliculitis caused by herpes and other viruses
- Secondary syphilis
- Infantile scabies
- Candidal infection and disseminated candidiasis
- Peri-oral dermatitis
- Behcet's disease
- Erythema toxicum neonatorum
- Pseudofolliculitis barbae
- Neonatal cephalic pustulosis (neonatal acne)
- Miliaria rubra ('prickly heat')
- Pustular rosacea
- Reiter's disease (reactive arthritis)
- Drug rash with eosinophilia and systemic symptoms (DRESS)
- Corticosteroid-induced rosacea-like eruption/corticosteroid acne
- Ulcerative or typical pyoderma gangrenosum
- Atypical form of pyoderma gangrenosum (APG)
- Orf
- Amicrobial pustulosis of the folds (APF)
