Acute generalized exanthematous pustulosis and polyarthritis associated with a novel CARD14 mutation

Acute generalised exanthematous pustulosis (AGEP) is a rare toxicoderma characterised by an acute onset rash, with many sterile pustules on the surface, high fever and increased acute phase reactants. We report the case of a patient who presented to the dermatology department with an AGEP and polyar...

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Published inAustralasian journal of dermatology Vol. 59; no. 1; pp. e70 - e73
Main Authors Podlipnik, Sebastian, Castellanos‐Moreira, Raul, Florez‐Enrich, Helena, Arostegui, Juan Ignacio, Mascaró, José Manuel
Format Journal Article
LanguageEnglish
Published Australia Wiley Subscription Services, Inc 01.02.2018
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Summary:Acute generalised exanthematous pustulosis (AGEP) is a rare toxicoderma characterised by an acute onset rash, with many sterile pustules on the surface, high fever and increased acute phase reactants. We report the case of a patient who presented to the dermatology department with an AGEP and polyarthritis, in which a novel CARD14 mutation was identified. The pathophysiological mechanism of AGEP remains unclear, although mutations in the IL36RN gene have been identified in a small subset of AGEP patients. Similarly, mutations in the CARD14 gene have been linked to pustular types of psoriasis and familiar cases of pityriasis rubra pilaris; however, there are no reports associating mutations in the CARD14 gene with AGEP.
ISSN:0004-8380
1440-0960
DOI:10.1111/ajd.12669