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June 1994

Generalized Pruritus With Flexural Micropapules in a 16-Month-Old Girl

Author Affiliations

Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

Arch Dermatol. 1994;130(6):787-788. doi:10.1001/archderm.1994.01690060121017

REPORT OF A CASE  A healthy 16-month-old girl was seen for evaluation of generalized pruritus of 2 weeks' duration.Her medical history was irrelevant except for two episodes of urinary infections at 2 and 8 months. No familial history of atopy, intestinal parasites, or pruritus was recorded.Physical examination disclosed multiple linear scratches on the trunk, buttocks, and extremities (Figure 1). Several grouped erythematous papules (di- ameter, 1 to 2 mm) on the right antecubital fossa were observed (Figure 2). No enlarged lymph nodes or hepatosplenomegaly were found.A complete blood cell count, standard biochemical studies, IgE levels, and chest roentgenogram were normal. Graham's test and fecal examination failed to show parasites. Scrapings from skin lesions did not demonstrate mites. Isolated small glassy spicules were observed after microscopic examination of a cellophane-tape sample taken from the right antecubital flexure.unch biopsy specimen from a papular lesion revealed focal hyperkeratosis with

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