Acute Generalized Exanthematous Pustulosis (AGEP)

  • Febrile drug reaction often seen within 1–2 days of starting offending drug
  • Presents with punctate non-follicular sterile pustules in a background of edematous erythema; lesions appear initially on face or intertriginous areas and spread to trunk and upper extremities; ± edema of face and hands; resolves typically within 1–2 weeks with superficial desquamation
  • Related drugs: β-lactam antibiotics, macrolides, calcium channel blockers (i.e., diltiazem), antimalarials, terbinafine, carbamazepine, acetaminophen
  • Treatment: remove offending drug, topical corticosteroid