Palmoplantar Pustulosis: A Case Report

Clinical Practice and Cases in Emergency Medicine
Anne Dulski, Vince Varamo

Abstract

Dermatology complaints account for 3.3% of emergency department (ED) visits per year. Most rashes are benign, but there are a select few that emergency physicians must be familiar with as delay in treatment could be life threatening. A well-appearing, 76-year-old male presented to the ED with multiple coalescing pustules to his palms and soles and was transferred to the nearest tertiary care hospital for dermatology consult. He was diagnosed with palmoplantar pustulosis and discharged home with a five-day course of clobetasol propionate 0.05% cream twice daily and outpatient dermatology follow-up. Palmoplantar pustulosis is an uncommon skin condition characterized by recurrent eruptions of sterile pustules localized to the palms and soles. Emergency physician awareness of this rare diagnosis may help prevent hospital admissions and lead to earlier initiation of treatment with outpatient dermatology follow-up.

References

Dec 1, 1988·The British Journal of Dermatology·A Lassus, J M Geiger
Jan 27, 2006·The Cochrane Database of Systematic Reviews·A M MarslandC E M Griffiths
May 28, 2009·Journal of the European Academy of Dermatology and Venereology : JEADV·E AdişenM A Gürer
Feb 20, 2010·Acta Dermato-venereologica·Alexandra M G BrunassoCesare Massone
Aug 7, 2010·The Journal of Dermatological Treatment·Anne C de Waal, Peter C M van de Kerkhof
Sep 22, 2010·Archives of Dermatology·Akerke Baibergenova, Neil H Shear
May 13, 2014·Journal of the European Academy of Dermatology and Venereology : JEADV·G BecherJ Leman
Jul 6, 2014·Journal of the European Academy of Dermatology and Venereology : JEADV·M SevrainL Misery
Mar 3, 2017·Journal of the European Academy of Dermatology and Venereology : JEADV·H TrattnerA Tanew

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