Smallpox vaccination is associated with several potential cutaneous adverse reactions, ranging from benign self-limited hypersensitivity reactions to life-threatening eczema vaccinatum and progressive vaccinia. Acral papulovesicular eruption is a distinct presentation that has been described in US Military service members following vaccination with the second-generation smallpox vaccine (ACAM2000, Sanofi Pasteur Biologics Co). We describe a case of this unique cutaneous eruption and review previously described cutaneous adverse events associated with smallpox vaccination.
Brittany Lenz, Eric Fillman, Liesl Grenier. Acral Papulovesicular Eruption in a Soldier Following Smallpox Vaccination. Cutis. 2022 Apr;109(4):194-196
PMID: 35659837
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