Korean J Dermatol.  2009 May;47(5):621-624.

A Case of Acute Generalized Exanthematous Pustulosis Induced by Ingestion of Lacquer Chicken Broth

• Kim HS
• Seo SH
• Jung DS
• Ko HC
• Kim MB
• Kwon KS

Abstract

Lacquer has been widely used for decorating or protecting furniture, floors, tea-pots and ornaments in East Asia (Korea, Japan and China), and it is a common cause of contact dermatitis that occurs after direct skin contact. Lacquer chicken broth has been considered as a folk medicine or health food in East Asia, and especially in Korea. Thus, systemic contact dermatitis accompanied by cutaneous eruptions and systemic symptoms is not uncommon after ingesting lacquer chicken broth. The clinical manifestations of systemic contact dermatitis by ingesting lacquer chicken broth are mainly maculopapular eruptions (65%), erythema multiforme-like eruptions (32%) and erythrodermic eruptions (19%) and these lesions can also present in the form of pustules, purpuras, wheals and blisters. However, there are few reported cases of acute generalized exanthematous pustulosis (AGEP) occurring after ingesting lacquer chicken broth without a past history for drugs, viral infection and contact allergy to mercury. We herein describe a case of AGEP accompanied by erythema multiforme-like lesions occurringafter ingesting lacquer chicken broth in a 64-year-old female patient.

Keyword

Acute generalized exanthematous pustulosis; Erythema multiforme-like eruption; Lacquer chicken broth

MeSH Terms

Acute Generalized Exanthematous Pustulosis
Blister
Chickens
Dermatitis, Contact
Eating
Erythema
Far East
Female
Floors and Floorcoverings
Food, Organic
Humans
Hypersensitivity
Interior Design and Furnishings
Japan
Korea
Lacquer
Medicine, Traditional
Middle Aged
Purpura
Skin