ISSN: 2640-236X
Authors: Moustaide K*, Nassiri A, Aqil N, Gallouj S and Mernissi FZ
Dermatophytids are immunologically mediated dermatologic presentations secondary to sensitization to a dermatophyte infection. They are most frequently associated with toe-web intertrigo and usually present as localized, palmar, pruriginous vesicular eruptions. We report a case of generalized exanthematous pustular dermatophytid associated with kerions. A 5-year-old boy, with no history, was treated with griseofulvin (20 mg / kg / day) for a Trichophyton that had been evolving for six weeks. Two days after the start of treatment, he had a non-febrile rash of non-follicular and non-confluent papules and micropustules from the face (Fig. 1), then the thorax, back and upper limbs. Dermatophytids occur during the acute phase of infection or within a few days of treatment initiation. Lesions are remote from the infection site, contain no dermatophyte, and resolve after treatment of the infection. We report an original cases of generalized exanthematous pustular. The main differential diagnosis is acute generalized exanthematous pustulosis secondary to antifungal drugs. Differences in clinical presentation between the two enable the appropriate diagnosis to be made as well as continued use of the antifungal medication needed to cure the patient. General or topical steroids may also be used in combination.
Keywords: Dermatophytid; Presentation
