Papular-purpuric Gloves and Socks Syndrome in a 46-year-old Man with Mycoplasma pneumoniae Respiratory Disease

Year 2018, Volume: 08 Issue: 04, 158 - 161, 15.12.2018

Jelena V. Jankovic Dragica P. Pesut

https://doi.org/10.5799/jmid.493856

Abstract

Mycoplasma pneumoniae is a cause of upper and lower respiratory disease,
predominantly in children and young. Dermatologic manifestations of the
infection occur in 1-5% of the cases, most commonly as Stevens–Johnson Syndrome
and Erythema Multiforme. We present a 46-year-old previously healthy man heavy
smoker, who was admitted due to fatigue, chest pain, cough, and fever that
appeared seven days earlier. He was diagnosed pleuro-pneumonia caused by Mycoplasma pneumoniae. Apart from
bicytopenia as toxic extrapulmonary manifestation of the infection, he
developed a relatively novel pruritic
dermatosis - papular-purpuric gloves and socks syndrome (PPGSS). Under antibiotic treatment, disease had
favorable outcome. In the cases of PPGSS without known etiologic agent, testing for Mycoplasma pneumoniae might be useful to
reveal etiology of the syndrome, especially in adult subjects. Some of the known constitutional symptoms of PPGSS
such as fever and fatigue, may also belong to the co-existing viral or
bacterial infection.  J Microbiol Infect Dis 2018; 8(4):158-161

Keywords

complications, Mycoplasma pneumoniae, Papular-purpuric gloves, pneumonia, socks syndrome

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