RARE CASE OF ACUTE LOCALIZED EXANTHEMATOUS PUSTULOSIS OVER FOREARM UNDERNEATH FIBERGLASS CAST FOR LOWER END RADIUS FRACTURE

Plaster casting is the most important tool in the practice of orthopedics. It is used to operate on fractures to treat them either permanently or afterward. Although there are disadvantages including stiffness, pressure sores, and compartment syndrome, orthopedic casting is nevertheless beneficial. Early warning indications include skin lesions like bullae and ecchymosis, as well as pain, soreness, itching, and systemic sickness that is out of proportion to the localized physical signs. The development of ALEP/AGEP is commonly within days after beginning a drug. We present a case of an uncommon orthopedic cast complication involving a previously healthy patient who developed an acute localized exanthematous pustulosis over forearm inside a fibreglass cast applied for treatment of lower end radius fracture. A less common, more localized variation of AGEP is acute localized exanthematous pustulosis, or ALEP. With the right casting procedure and routine cast reviews, all of these issues may be avoided.