A CASE OF ESOPHAGEAL PUSTULOSIS DUE TO ACUTE GENERALIZED PUSTULAR BACTERID

Abstract

Approximately 70 cases of acute generalized pustular bacterid (AGPB) have been reported. However, esophageal lesions have not been described. A 61-year-old male had been receiving topical preparations for pustulosis palmaris et plantaris at the Department of Dermatology since October 1995. However, in early November 1995, pustules appeared throughout the body including the oral cavity after cold-like symptoms developed. The patient consulted our department complaining of a strange sensation in the esophagus. Endoseopy revealed that white round hullae, erosion where the epithelium of hullae had exfoliated, and ulcers were present throughout the esophagus. There were no abnormal findings in the stomach or duodenum. After one week, endoscopy revealed that the exfoliated mucosa appeared a white mucosal protrusion, suggesting exfoliative esophagitis, which disappeared about 3 weeps after administration of antibiotics. Biopsy specimens from the esophageal mucosa on the initial consultation suggested pustules similar to those in anthema. The present case appears to be a rare case in which AGPB caused esophageal lesions.