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Relapsing bullous staphyloderma.

J Brasch¹, U Mrowietz, C Schubert

¹Department of Dermatology, University of Kiel, Germany.

Acta Dermato-Venereologica

|January 1, 1992

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A novel skin condition, relapsing bullous staphyloderma, is described, characterized by recurrent blistering and pustular eruptions caused by Staphylococcus aureus. Effective antibiotic treatment was observed in a case study.

Area of Science:

Dermatology
Infectious Diseases
Microbiology

Background:

Pustular dermatoses represent a group of skin conditions characterized by pus-filled lesions.
Staphylococcus aureus is a common bacterium that can cause various skin infections.

Observation:

A 69-year-old woman presented with recurrent blistering lesions that quickly evolved into pustules over several months.
Strains of Staphylococcus aureus, including one producing enterotoxin C, were isolated from multiple lesions.
Systemic involvement was minimal, with only an elevated blood sedimentation rate (BSR), and blood cultures remained negative.

Findings:

Histopathological examination of the lesions was consistent with impetigo.
The recurrent nature and specific bacterial findings suggested a distinct clinical entity.

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The condition responded well to antibiotic therapy.

Implications:

This case highlights a previously undescribed pustular dermatosis, termed relapsing bullous staphyloderma.
Early identification and appropriate antibiotic treatment are crucial for managing this condition.
Further research is warranted to understand the pathogenesis and epidemiology of relapsing bullous staphyloderma.