Differential Diagnosis > Morphology > Reaction Patterns Expanded > Pustules

Pustules

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hmtoggle_plus1Superficial pustules:
candida
pustular psoriasis
AGEP
subcorneal pustular dermatosis
impetigo/ SSSS

(a useful clinico-pathologic ddx but clinically impetigo/SSSS doesn't usually present with pustules)

 

hmtoggle_plus1GENERALIZED pustules:
folliculitis (vs. pityrosporum folliculitis)
pustular psoriasis
AGEP
subcorneal pustular dermatosis
Candida
miliaria pustulosa

 

hmtoggle_plus1LOCALIZED pustules:
Majocchi's granuloma
leishmania
impetigo/ SSSS
FACE - pseudofolliculitis barbae, sycosis barbae/ acne, rosacea, perioral dermatitis
SCALP - folliculitis decalvans, dissecting cellulitis

 

hmtoggle_plus1Pustules in the Beard:
pseudofolliculits barbae
tinea barbae

 

Other Pustules:

Vesiculopustular Eruption of Ulcerative Colitis = acute onset of fever, vesicles, and pustules associated with a flare in bowel disease
Bowel Bypass Syndrome = circulating immune complexes associated with baterial overgrowth of a blind loop
fire ants (solenopsis) = the only insect bites that are characteristically pustular
Disseminated gonorrhea - sparsely distributed
Acrodermatitis Enteropathica  = peri-orificial pustules;  diarrhea, diffuse alopecia, dermatitis
eosinophilic pustules:   Incontinentia Pigmenti, eosinophilic pustular folliculitis
scalp pustules - think acne miliaria necrotica

 

The clinical group "pustules" overlaps with the histologic group "neutrophilic dermatoses" which overlaps with the pathogenesis group  "immune complex diseases" and all of these are "sterile pustules".

 

hmtoggle_plus1Neutrophilic dermatoses:
PG/ Sweets syndrome
vesicopustular eruption of ulcerative colitis
Behcets
bowel bypass syndrome