[Case of the month. Acute generalized exanthematous pustulosis due to an iodinated contrast radiodiagnostic agent].
Iodinated contrast agents are frequently involved in delayed polymorphic adverse skin reactions. Acute generalized exanthematous pustulosis following administration of iodinated contrast agents is a rare but severe form of such reactions. The disease is characterized by the sudden occurrence of an erosive and pustular erythroderma with fever, leukocytosis and sometimes peripheral adenopathies and liver involvement. This condition is considered as an immunologic reaction, primarily involving T lymphocytes. The overall mortality reaches about 1%. Elucidating the differential diagnosis with other acute paroxysmal drug eruptions (toxic epidermal necrolysis, Steven-Johnson syndrome and drug hypersensitivity syndrome) is of paramount importance for establishing the adequate treatment of PEAG.
Service de Dermatopathologie, CHU de Liège. P.Paquet@chu.ulg.ac.be
P
P
Paquet
G
G
Vandenbossche
A F
AF
Nikkels
F
F
Henry
G E
GE
Piérard
D000369:Aged, 80 and over; D003287:Contrast Media / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007472:Iohexol / Q000009:adverse effects / Q000031:analogs & derivatives*; D012872:Skin Diseases, Vesiculobullous / Q000139:chemically induced*
D003287:Contrast Media; C093233:iobitridol; D007472:Iohexol