title: Erosive pustular dermatosis of the leg mimicking lower limb cellulitis.
abstract: Erosive pustular dermatosis (EPD) of the leg is an unusual form of amicrobial pustulosis, which typically affects elderly patients with chronic venous insufficiency. We report a patient who presented with painful erythema, crusted erosions and pustules on her right lower leg. Histology showed a dermal infiltration made up predominantly of neutrophils. Bacteria were isolated from the lesions. The condition was initially diagnosed as cellulitis, but antibiotic treatment was unsuccessful. After the correct diagnosis was made, complete resolution was obtained with betamethasone 0.05%.
authors.affiliation: Department of Dermatology, Chengdu Military General Hospital, Chengdu, Sichuan Province, China.
authors.forename: Z
authors.initials: Z
authors.lastname: Zhou
authors.affiliation: Department of Dermatology, Chengdu Military General Hospital, Chengdu, Sichuan Province, China.
authors.forename: Z K
authors.initials: ZK
authors.lastname: Zhang
authors.affiliation: Department of Dermatology, Chengdu Military General Hospital, Chengdu, Sichuan Province, China.
authors.forename: T H
authors.initials: TH
authors.lastname: Liu
mesh_terms: D000151:Acinetobacter Infections / Q000473:pathology; D040981:Acinetobacter baumannii / Q000302:isolation & purification; D000368:Aged; D002481:Cellulitis / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007868:Leg Dermatoses / Q000473:pathology*; D009894:Opportunistic Infections / Q000473:pathology; D012872:Skin Diseases, Vesiculobullous / Q000473:pathology*