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November 1996

Palmoplantar Pustules in an Infant

Author Affiliations

Gulf South Medical and Surgical Institute Inc, Kenner, La

Arch Dermatol. 1996;132(11):1367-1368. doi:10.1001/archderm.1996.03890350109018

REPORT OF A CASE  A 4-month-old healthy black child presented with a pruritic rash of 1 month's duration. The patient had been previously treated with permethrin cream (Elimite) and betamethasone dipropionate and clotrimazole cream (Lotrisone). The lesions persisted even after applications of the permethrin cream. Physical examination revealed numerous vesiculopustules on the dorsum of the hands and feet and the distal aspect of the extremities and a few on the face (Figure 1 and Figure 2). Some of the lesions were eroded and crusted, but there were no signs of impetiginization.The findings of the following laboratory investigations were normal: automated chemistry panel, reticulocyte count, urinalysis, glucose-6-phosphate dehydrogenase determination, and rapid plasma reagin tests. The results of scabies preparation, potassium hydroxide examination, and bacterial culture were negative. An elevated platelet count of 867 ×109/L necessitated a referral to the patient's pediatrician. The remainder of the complete blood

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