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March 12, 2026Pediatric Dermatology0 citations

A Systematic Review of Pediatric Acute Generalized Exanthematous Pustulosis

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YCYing Shan CheungALAn Jian LeungMLMeiqi May Liau

Key Points

  • To evaluate the characteristics and management of pediatric acute generalized exanthematous pustulosis (AGEP).
  • Review of 47 pediatric AGEP cases
  • Analysis of drug and infectious triggers
  • Assessment of management strategies
  • Male predominance observed in pediatric cases
  • Medications identified as the most common trigger
  • Higher incidence of infectious factors than in adults
  • Management focused on drug cessation and topical corticosteroids

Abstract

Acute generalized exanthematous pustulosis (AGEP) is a rare severe cutaneous adverse reaction in children. In this systematic review of 47 cases, a male predominance was observed, and medications remained the most common trigger for AGEP, with a higher contribution from infectious etiologies compared with frequencies reported in adult studies. Management primarily involved cessation of the inciting drug, topical corticosteroids, and supportive care. These findings provide practical guidance for early recognition and evaluation of pediatric AGEP.

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Cite This Study

Cheung et al. (2026) studied this question.

synapsesocial.com/papers/69b25abe96eeacc4fcec8b1fhttps://doi.org/10.1111/pde.70172
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