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Special Feature
May 2008

Picture of the Month—Quiz Case

Author Affiliations

Author Affiliations:Departments of Pediatrics (Dr Sánchez Fernández) and Dermatology (Drs González Ensenat and Vicente Villa), Hospital Sant Joan de Déu, and Department of Dermatology, Hospital Clínic (Dr Julià Manresa), Barcelona, Spain.

 

SAMIR S.SHAHMDALBERT C.YANMD

Arch Pediatr Adolesc Med. 2008;162(5):485. doi:10.1001/archpedi.162.5.485

A 4-year-old girl presented with an extremely pruritic, painful, bullous, linear lesion on the plantar surface of her left foot (Figure 1and Figure 2). The eruption started during a 3-week trip to Pipa (in northeastern Brazil), where she had been visiting her father. She was treated with a 5-day course of topical mupirocin and oral amoxicillin–clavulanic acid, without improvement. The cytologic study performed with liquid extracted from the bullae showed a mixture of inflammatory cells with a predominance of eosinophils.

Figure 1.
Bullous lesion on the plantar surface of the left foot.

Bullous lesion on the plantar surface of the left foot.

Figure 2.
Linear pattern on the bullous lesion.

Linear pattern on the bullous lesion.

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