Abstract

Acute generalized exanthematous pustulosis (AGEP) is the most common generalized pustular rash. It is a delayed immunological reaction involving cellular immunity and is characterized by the sudden, simultaneous onset of high fever and scarlatiniform sheet erythema, which, in several hours, is covered with numerous pustules with a lactescent content, non-follicular, sterile, predominant on the face, trunk, and folds. It regresses in less than fifteen days after stopping the causative agent giving way to diffuse desquamation. Several incriminating factors in the triggering of this reaction, in particular, at the top of the list, taking medication, a viral (enterovirus) or bacterial (streptococcal) infection, yet its occurrence following an insect bite has been exceptionally reported in the literature. The diagnosis is established according to clinical and histological criteria. Herein, we report the case of a young Moroccan female with generalized AGEP related to insect bites. Key words: Acute Generalized Exanthematous Pustulosis; EuroSCAR; Insect Bites

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