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April 2011

Sandpaper Dermatitis on a 17-Month-Old Girl—Quiz Case

Author Affiliations


Arch Dermatol. 2011;147(4):499-504. doi:10.1001/archdermatol.2011.62-a

A 17-month-old white girl presented with a 2-day history of an erythematous skin eruption that had begun on her left cheek and had spread to her neck and chest. The skin eruption was bright red, with well-demarcated borders and a sandpaperlike texture (Figure 1). It was not pruritic or painful. There was no evidence of lacerations, insect bites, ulcerations, vesicles, bullae, inflamed hair follicles, or lymphadenopathy. The eruption was preceded by a prodrome of fever, cough, and rhinitis, which were initially treated with ibuprofen and acetaminophen. The infant did not have recent exposure to chemicals or irritants, and her medical history was otherwise noncontributory. Her father had a history of a streptococcal tonsillar abscess, which had been drained 1 month earlier. She was admitted to the hospital with fever and leukocytosis, and a biopsy specimen was obtained for further evaluation (Figure 2 and Figure 3).