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Picture of the Month—Quiz Case
Michael Sheehan, MD;
Hannah Huddleston, MD;
Nico Mousdicas, MD
Arch Pediatr Adolesc Med. 2008;162(6):581.
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A 7-year-old, previously healthy white girl presented with an 8-day history of blistering that had begun on the left arm and subsequently spread to the remainder of her body. The lesions were painful and pruritic. In the week before evaluation, she had been started on a regimen of cephalexin; prednisolone, 15 mg/d with taper; and ibuprofen. The presumptive diagnosis at that time was bullous impetigo. The lesions continued to progress despite the administration of corticosteroids. The patient and her family denied any recent illnesses, including upper respiratory tract infection, or new medications within the past 6 weeks. Her medical history included asthma, for which she had been taking montelukast sodium, albuterol, and fluticasone propionate for 2 years. Her family denied known allergies to medications. Immunizations were up-to-date, and there was no history of vaccination within the past 6 weeks. Findings from . . . [Full Text of this Article]
Author Affiliations: Department of Dermatology, Indiana University School of Medicine, Indianapolis (Drs Sheehan, Huddleston, and Mousdicas).
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Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2008;162(6):582.
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