PMC5903148_01
Multiple pustular and crusted lesions on the trunk (a) and extremities (b, c) on the day of admission.
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F1
Physical examination revealed the presence of a generalized eruption of pustules on an erythematous base, which particularly involved the scalp, neck, trunk, and extremities (Fig. 1).
Parakeratosis and minimal hyperplasia in an area of the epidermis. a, b Dermis perivascular infiltrate contained lymphocytes and plasma cells 6 days after admission. a x40. b x200. c, d Parakeratosis and intraepidermal neutrophilic granulocyte abscess in an area of the epidermis. Telangiectasia in the dermis papilla, dermal superficial perivascular lymphocytes, and neutrophils infiltration 12 days after admission. c x40. d x200.
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F2
The dermis showed an inflammatory infiltrate, comprising lymphocytes and plasma cells (Fig. 2a, b). A biopsy of the dermis showed telangiectasia in the dermis papilla, dermal superficial perivascular lymphocytes, and neutrophil infiltration (Fig. 2c, d).
The pustular lesions had healed on the trunk and extremities 3 weeks after admission.
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F3
Three weeks after admission, the pustular lesions had completely healed (Fig. 3) and the TRUST titer had decreased to 1: 8.