Abstract
Acute generalized exanthematous pustulosis (AGEP) is a rare, severe, pustular reaction pattern, attributed mainly to drugs. Other triggers such as infections, spider bite, and contact sensitivity have been implicated. AGEP is characterized by typical morphology, unique histology, and a rapid clinical course. The AGEP validation score (EuroSCAR group criteria) is a useful tool for establishing the diagnosis. The immune pathogenesis involves drug-specific T-cells, neutrophils, and the release of cytokines/chemokines (i.e., IL-8/CXCL8). In view of the remarkable clinical and histological similarity between AGEP and pustular psoriasis, the genetic basis of AGEP should be further evaluated.
Original language | English |
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Title of host publication | Advances in Diagnosis and Management of Cutaneous Adverse Drug Reactions |
Subtitle of host publication | Current and Future Trends |
Publisher | Springer Singapore |
Pages | 105-122 |
Number of pages | 18 |
ISBN (Electronic) | 9789811314896 |
ISBN (Print) | 9789811314889 |
DOIs | |
State | Published - 1 Jan 2018 |
Keywords
- Acute generalized exanthematous pustulosis
- Adverse reaction
- Cytokines
- Generalized pustular psoriasis
- Pustular drug eruption
- T-cells
ASJC Scopus subject areas
- General Medicine
- General Pharmacology, Toxicology and Pharmaceutics