[Diagnostic image (75). A veterinary assistant with a swelling on the neck. Cowpox]. / Diagnose in beeld (75). Een dierenartsassistent met een zwelling aan de hals. Koepokken.

In a 21-year-old woman, suffering from a moderate painful erythematous infiltrated lesion in the neck, cowpox was diagnosed. Contact with an infected cat was suggested. Healing was spontaneous.

Impetigo herpetiformis or generalized pustular psoriasis?

Impetigo herpetiformis was diagnosed in a primigravida woman on clinical, laboratory, and histopathological grounds. This disease should be considered as a rare and serious variant of generalized pustular psoriasis. After initiating prednisone therapy, antepartum registration of fetal heart rate patterns appears necessary to evaluate fetal well-being. Subsequent pregnancies of the patient were not recommended.