Widespread pruritic papulopustules after returning from Thailand.(Photo Quiz)

From: American Family Physician | Date: December 1, 2005| Author: | Copyright information

A 23-year-old woman presented after returning from a beach vacation in Thailand. Before leaving Thailand, she developed a severe, widespread, pruritic eruption. On examination, she had erythematous, edematous, infiltrative papules and papulopustules over her entire body, most densely concentrated on her buttocks and back (see accompanying figure). Skin biopsy showed an intraepidermal pustule rich in eosinophils and necrotic keratinocytes and an epidermal and upper dermal chronic infiltrate with many eosinophils. There were no traces of parasites.

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