第29回："Prevention as Precipitant"
タイトルは、「予防のノウハウ、時には余病の膿疱」というのは訳しすぎか。そう言えば、掌蹠膿疱症って余り見なくなった気がします。
Word Count：2355語 (Time: 14'32'', 162 wpm)
参加人数：３名＋文書参加１名
クリニカル・パール：
- The dermatology department was consulted, and the patient underwent punch biopsy of skin from his left axilla. This revealed intraepidermal pustule formation along with dermal interstitial and perivascular lymphocytic infiltrates and multiple eosinophils, which, given his overall presentation, was a finding thought to be most consistent with acute generalized exanthematous pustulosis triggered by cephalosporin exposure.
- At least 90% of cases of acute generalized exanthematous pustulosis are attributed to medication exposure, with antibiotics, antiepileptic agents, and antihypertensive agents commonly cited as culprits.
- Early skin biopsy was central to making the diagnosis and guiding management.
感想：
- 皮膚生検が重要と分かっても、紹介先の方針で変わってきますね。
- 遠隔診断を積極的に受けて頂ける皮膚科のドクターいらっしゃらないでしょうか？
