PUSTULAR BACTERID (OF ANDREWS)
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.
- A focus of infection is found, e.g., Strep throat.
- There is controversy as to whether PB is a separate disease or is a variant of palmoplantar pustulosis, a variant of psoriasis.
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.
Homepage | FAQs | Use of Images | Contact Dr. White
It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.