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December 1996

Multiple Erythematous Tender Papules and Nodules in an 11-Month-Old Boy

Author Affiliations

American University of Beirut Medical Center, New York, NY

Arch Dermatol. 1996;132(12):1507-1508. doi:10.1001/archderm.1996.03890360099018

REPORT OF A CASE  An 11-month-old boy presented to the outpatient dermatology clinic with a 3-week history of multiple painful erythematous skin lesions over his extremities and trunk. The lesions were increasing in size and number and were associated with fever.Physical examination revealed an irritable baby boy with a rectal temperature of 39°C and numerous tender, dusky, erythematous papules and plaques over the extremities and, to a lesser extent, the trunk. These lesions varied in size from a few millimeters to several centimeters in diameter. Some of the lesions had depressed clear centers, others were bullous and/or ulcerated and necrotic (Figure 1 and Figure 2).Laboratory investigations revealed the following values: hemoglobin, 90 g/L; hematocrit, 0.20; white blood cell count, 54.5×109/L with a differential cell count of 0.63 neutrophils, 0.35 lymphocytes, and 0.02 monocytes; platelet count, 567×109/L and erythrocyte sedimentation rate, 30 mm/h. The results

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