title: Acute acral pustulosis.
abstract: We report a patient with a pustular eruption in an acral distribution that developed abruptly 4 days after a streptococcal pharyngitis. The histology showed an intraepidermal vesicle filled with neutrophils with an underlying lymphocytic vasculitis. Direct immunofluorescence demonstrated heavy deposition of C3 within the vessel walls. In addition, circulating immune complexes were found.
authors.affiliation: Dermatology Service, Veterans Administration Medical Center, Houston, Texas.
authors.forename: T J
authors.initials: TJ
authors.lastname: Hoffmann
authors.forename: A
authors.initials: A
authors.lastname: Kettler
authors.forename: S
authors.initials: S
authors.lastname: Bruce
mesh_terms: D000208:Acute Disease; D000328:Adult; D005121:Extremities; D006801:Humans; D008297:Male; D010612:Pharyngitis / Q000150:complications; D011565:Psoriasis / Q000473:pathology*; D012867:Skin / Q000473:pathology; D013290:Streptococcal Infections / Q000150:complications; D013297:Streptococcus pyogenes