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July 1993

Vesicles, Pustules, and Erosions in a Child

Author Affiliations

USN; USN; National Naval Medical Center, Bethesda, Md, and Uniformed Services University of the Health Sciences, Bethesda, Md

Arch Dermatol. 1993;129(7):899-900. doi:10.1001/archderm.1993.01680280087017

REPORT OF A CASE  A 23-month-old white boy was referred to us for evaluation of a vesiculobullous eruption of 7 months' duration involving the scalp, perioral surface, chin, neck, umbilicus, suprapubic surface, scrotum, and perianal surface. Before his referral, the child had been treated with multiple courses of antibiotics for bullous impetigo; no improvement was seen. The child was at the appropriate developmental stage and was in excellent general health.The physical examination revealed an alert, happy child with perioral vesicles, pustules, and erosions. In addition, he had a bullous eruption on a slightly erythematous base with erosions and crusts involving the scalp, chin, umbilicus, suprapubic surface (Fig 1), groin, and scrotum (Fig 2). Some of the lesions had a serpiginous border. No oral, ocular, hand, or foot lesions were present.The following laboratory results were normal or negative: complete blood cell count, automated seven-channel analysis System, renal panel, hepatic panel

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