|Acute generalized exanthematous pustulosis (AGEP) is a rare disease characterized by acute, multiple small, non follicular, sterile pustules on an erythematous background, usually accompanied by fever and leukocytosis. It is attributed to systemic drugs in over 90% of cases, mainly ß-lactam and macrolide antimicrobials. Systemic contact dermatitis is not rare after ingesting lacquer broth, but there are few reported cases of AGEP occurring after ingesting laquer chicken broth without a past history for drugs, viral infection and contact allergy to mercury. We report a rare case of AGEP with patterns of septic shock induced by intake of lacquer chicken in a 40-year-old male patient. He developed a generalized pustuar lesion with fever (38℃) and hypotension (BP 70/50 mmHg). Initial blood test showed white blood cell count 25,500/mm3 (neutrophil 48%, lymphocyte16%, eosinophil 7%), ESR 22 mm/hr, HS-CRP 5.99 mg/dL and the others were normal. Histologic examination showed subcorneal neutrophilic pustules, papillary dermal edema, and lymphohistiocytic perivascular infiltrates with some eosinophils and neutrophils. The patient had been treated with empirical antibiotics, systemic steroid and antihistamine. The pustular lesions had improved 2 weeks later without recurrence.