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A Systematic Review of Pediatric Acute Generalized Exanthematous Pustulosis
Ying Shan Cheung1, An Jian Leung1, Meiqi May Liau2
1Department of Medicine, National University Hospital, Singapore, Singapore.
Pediatric Dermatology
|March 9, 2026
Summary
Acute generalized exanthematous pustulosis (AGEP) in children is rare and severe. Medications commonly trigger AGEP in kids, with infections playing a larger role than in adults, guiding pediatric recognition and management.
Area of Science:
- Dermatology
- Pediatrics
- Pharmacovigilance
Background:
- Acute generalized exanthematous pustulosis (AGEP) is a rare but severe cutaneous adverse drug reaction.
- Pediatric AGEP is less understood than adult cases, necessitating specific research.
- Identifying triggers and effective management is crucial for improving outcomes in children.
Purpose of the Study:
- To systematically review cases of pediatric AGEP.
- To identify common triggers, clinical characteristics, and management strategies for AGEP in children.
- To provide data for early recognition and evaluation of pediatric AGEP.
Main Methods:
- Systematic review of 47 reported cases of pediatric AGEP.
- Analysis of patient demographics, causative agents, clinical presentation, and treatment outcomes.
- Comparison of findings with existing literature on adult AGEP.
Main Results:
- A male predominance was observed in pediatric AGEP cases.
- Medications were the most frequent trigger, with infectious etiologies contributing more significantly than in adults.
- Primary management involved drug cessation, topical corticosteroids, and supportive care.
Conclusions:
- Medications and infections are key triggers for pediatric AGEP.
- Effective management includes drug withdrawal, topical steroids, and supportive measures.
- Findings offer practical guidance for the clinical evaluation and management of children with AGEP.
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