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August 1994

Targetlike Lesions in an Infant

Author Affiliations

University of Navarra School of Medicine, Pamplona, Spain

Arch Dermatol. 1994;130(8):1057-1058. doi:10.1001/archderm.1994.01690080123021

REPORT OF A CASE  A 7-month-old girl was seen with a 2-day history of erythematous lesions with a targetlike appearance. The lesions were widely distributed but were most numerous on her upper limbs and face.Her history was unremarkable except for a mild cold and cough treated with a citiolone mixture.Physical examination revealed an afebrile child in generally good condition. An extensive eruption of erythematous macular lesions (±3 cm) that resembled concentric erythematous rings (targetlike [cockade] or ecchymotic purpura).ccN The lesions were symmetrical on the face and limbs, and some lesions were seen on the trunk(Figure 1 and Figure 2). Edema of the limbs and face was noted.The following tests were performed: complete blood cell count, erythrocyte sedimentation rate, hepatic function, rheumatoid factors, platelets, coagulation factors, total and fractionated complement and immunoglobulins, urinalysis, and protein concentrations; all were within normal limits.The electrocardiogram and chest roentgenogram were

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