By Gary M. White, MD

Pustular bacterid (PB) is a pustular disorder of the hands and/or feet triggered by an infection. It was initially described by Andrews.


An acute pustular eruption of the hands and/or feet is seen. Pustules are negative by definition.


Treating the infection is important. Culturing the pustules should be done. See palmoplantar pustulosis for treatment.


A 14-year-old boy presented with a 1-week history of pustules on both palms, a fever of approximately 38°C, sore throat, and cough. Physical examination revealed multiple isolated 2–8 mm diameter pustules on both palms. The hands and other parts of the body were spared. Int J Prev Med. 2015; 6: 51.


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