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Vesicobullous Lesions in a Child
Zoltán Nyul, MD;
Ferenc Harangi, MD;
Dalma Várszegi, MD;
Erzsébet Zombai, MD
Arch Dermatol. 1997;133(6):779-780.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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REPORT OF A CASE
A maculopapular eruption appeared on the trunk of a 2 -year-old boy after he had been treated with penicillin for tonsillopharyngitis. The rash progressed even though the penicillin therapy was discontinued. Vesicobullous lesions subsequently developed on the patient's face, trunk, and extremities and then spread to his scalp, soles, palms, and oral mucous membranes (Figure 1 and Figure 2). Physical examination revealed tense blisters of various size arising on an erythematous base. In some places, new vesicles were seen around older, crusted erosions (Figure 3). Nikolsky sign was absent. The complete and differential blood cell counts and the IgE level were normal. A skin biopsy specimen was obtained (Figure 4).
What is your diagnosis?
Vesicobullous Lesions in a Child
DIAGNOSIS:
Bullous pemphigoid (BP).
HISTOPATHOLOGIC FINDINGS AND CLINICAL COURSE
The diagnosis of bullous pemphigoid was established by histologic examination and immunofluorescence findings. Light microscopic examination of the biopsy
. . . [Full Text PDF of this Article]
Author Affiliations
Kerpel-Fronius Ödön Children's Hospital (Drs Nyul and Harangi) and the University Medical School (Drs Várszegi and Zombai), Pécs, Hungary
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