Acute generalized exanthematous pustulosis associated with human parvovirus B19 infection

A 40-year-old woman presented to the emergency department with a febrile maculopapular rash, initially confined to the perineal area (Fig 1). She then developed non-follicular pustules in the inguinal and axillary folds as well as on the buttocks (Fig. 1a-b), the labial (Fig. 1c) and the jugal mucosa. There was no immune deficiency and all other tests results including HIV, HBV, HCV serologies were unremarkable.