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November 1990

Urticarial Skin Eruption in a Child

Author Affiliations

Hospitals of the University Health Center of Pittsburgh (Pa)

Arch Dermatol. 1990;126(11):1502a-1502b. doi:10.1001/archderm.1990.01670350117023

REPORT OF A CASE  A 5½-year-old boy was admitted to Children's Hospital, Pittsburgh, Pa, for examination of a skin rash associated with fever and scrotal swelling.The patient was well until 6 weeks before admission, when asymptomatic skin eruption and scrotal swelling developed. His pediatrician diagnosed acute urticaria and treated him with a tapering, 10-day course of prednisone, with complete resolution of the skin lesions and scrotal edema. Four days prior to admission, a nocturnal nonproductive cough, fever, decreased appetite, migratory arthralgias, and malaise developed. Therapy with oral amoxicillin was started for acute otitis media. On the day of admission, he complained of scrotal pain associated with recurrence of the skin eruption and scrotal swelling.The child's medical history is significant for asthma. Medications at admission included albuterol, aminophylline, and amoxicillin. On several occasions, the hives developed while the child was taking various theophylline preparations.Results from the physical examination

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