Gonorrhea, Neisseria Gonorrhoeae Infection, Embolus, Septic, Vasculitis, Leukocytoclastic - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

gonorrhea Neisseria gonorrhoeae infection embolus, septic vasculitis, leukocytoclastic

Body Site

finger ankle

Age

24 years

Pigmentation

light

Organization

scattered

Color

purple

Morphology

vesiculobullous (blister, pustule)

Pattern

acral (centripetal - extremity predominant)

Comments

This 24 year old woman with a history of recurrent sexually transmitted diseases developed a fever, several painful joints, and 3 exquisitely tender pustules on a violaceous base on her right palm, the side of a finger on each hand, and her left ankle. A biopsy of the ankle pustule demonstrated a leukocytoclastic vasculitis, but no organisms were seen. A culture from her cervix grew Neisseria gonorrhoeae. The small number of tneder necrotic pustules on the distal extremities is typical of disseminated gonococcal infection.

Description

painful pustules with surrounding violaceous erythema

Image Added

5/16/2002 15:21:14

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Other Resources

PubMed Medline Plus Medscape

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