A case report of terbinafine-induced acute generalized exanthematous pustulosis in a striking photodistributed pattern

Acute generalized exanthematous pustulosis is a rare severe cutaneous adverse reaction that classically presents in intertriginous or flexural areas and subsequently spreads diffusely across the trunk and extremities. To date, few cases of acute generalized exanthematous pustulosis arising in a phot...

Full description

Bibliographic Details
Main Authors: Charles D Lange, Laura Madden, Eva Rawlings Parker
Format: Article
Language:English
Published: SAGE Publishing 2024-02-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X241231526
_version_ 1797307159043637248
author Charles D Lange
Laura Madden
Eva Rawlings Parker
author_facet Charles D Lange
Laura Madden
Eva Rawlings Parker
author_sort Charles D Lange
collection DOAJ
description Acute generalized exanthematous pustulosis is a rare severe cutaneous adverse reaction that classically presents in intertriginous or flexural areas and subsequently spreads diffusely across the trunk and extremities. To date, few cases of acute generalized exanthematous pustulosis arising in a photodistributed pattern are documented. Herein, we describe the second known case of photodistributed generalized exanthematous pustulosis arising in association with oral terbinafine use, providing a summary of the previously documented cases along with exploration of the potential pathophysiological mechanisms for this cutaneous reaction.
first_indexed 2024-03-08T00:53:10Z
format Article
id doaj.art-b10e54d66f2e4870b2173297ff995ce4
institution Directory Open Access Journal
issn 2050-313X
language English
last_indexed 2024-03-08T00:53:10Z
publishDate 2024-02-01
publisher SAGE Publishing
record_format Article
series SAGE Open Medical Case Reports
spelling doaj.art-b10e54d66f2e4870b2173297ff995ce42024-02-14T19:03:24ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2024-02-011210.1177/2050313X241231526A case report of terbinafine-induced acute generalized exanthematous pustulosis in a striking photodistributed patternCharles D Lange0Laura Madden1Eva Rawlings Parker2Indiana University School of Medicine, Indianapolis, IN, USADermatology Physicians of Connecticut, Branford, CT, USACenter for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, TN, USAAcute generalized exanthematous pustulosis is a rare severe cutaneous adverse reaction that classically presents in intertriginous or flexural areas and subsequently spreads diffusely across the trunk and extremities. To date, few cases of acute generalized exanthematous pustulosis arising in a photodistributed pattern are documented. Herein, we describe the second known case of photodistributed generalized exanthematous pustulosis arising in association with oral terbinafine use, providing a summary of the previously documented cases along with exploration of the potential pathophysiological mechanisms for this cutaneous reaction.https://doi.org/10.1177/2050313X241231526
spellingShingle Charles D Lange
Laura Madden
Eva Rawlings Parker
A case report of terbinafine-induced acute generalized exanthematous pustulosis in a striking photodistributed pattern
SAGE Open Medical Case Reports
title A case report of terbinafine-induced acute generalized exanthematous pustulosis in a striking photodistributed pattern
title_full A case report of terbinafine-induced acute generalized exanthematous pustulosis in a striking photodistributed pattern
title_fullStr A case report of terbinafine-induced acute generalized exanthematous pustulosis in a striking photodistributed pattern
title_full_unstemmed A case report of terbinafine-induced acute generalized exanthematous pustulosis in a striking photodistributed pattern
title_short A case report of terbinafine-induced acute generalized exanthematous pustulosis in a striking photodistributed pattern
title_sort case report of terbinafine induced acute generalized exanthematous pustulosis in a striking photodistributed pattern
url https://doi.org/10.1177/2050313X241231526
work_keys_str_mv AT charlesdlange acasereportofterbinafineinducedacutegeneralizedexanthematouspustulosisinastrikingphotodistributedpattern
AT lauramadden acasereportofterbinafineinducedacutegeneralizedexanthematouspustulosisinastrikingphotodistributedpattern
AT evarawlingsparker acasereportofterbinafineinducedacutegeneralizedexanthematouspustulosisinastrikingphotodistributedpattern
AT charlesdlange casereportofterbinafineinducedacutegeneralizedexanthematouspustulosisinastrikingphotodistributedpattern
AT lauramadden casereportofterbinafineinducedacutegeneralizedexanthematouspustulosisinastrikingphotodistributedpattern
AT evarawlingsparker casereportofterbinafineinducedacutegeneralizedexanthematouspustulosisinastrikingphotodistributedpattern