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Vesicular Eruption on the Trunk and in Intertriginous FoldsQuiz Case
Klaus Sellheyer, MD;
Maria Medenica, MD;
Sarah L. Stein, MD
University of Chicago Hospitals, Chicago, Ill
Arch Dermatol. 2004;140:231-236.
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REPORT OF A CASE
The dermatology consultation service was asked to evaluate a 3-year-old African American boy with a 1-day history of numerous vesicles on his trunk and in intertriginous folds. He had a history of sickle cell disease and had been admitted to the pediatric intensive care unit for treatment of acute chest syndrome. He was febrile and on a multidrug regimen, including erythromycin, cefotaxime sodium, vancomycin hydrochloride, fentanyl citrate, and famotidine. The rash developed rapidly during his hospital stay.
Physical examination revealed multiple, translucent 1- to 2-mm vesicles on the trunk and in intertriginous folds (Figure 1), especially the axillae and scrotum. The vesicles ruptured easily. No bullae or erosions were noted. The lips were edematous. A biopsy specimen was obtained from one of the lesions on the trunk (Figure 2 and Figure 3).
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RELATED ARTICLE
Vesicular Eruption on the Trunk and in Intertriginous FoldsDiagnosis
Arch Dermatol. 2004;140(2):231-236.
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