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Papules and Vesicles in an 18-Month-Old Boy

Papules and Vesicles in an 18-Month-Old Boy Abstract REPORT OF A CASE A healthy 16-month-old white boy presented with 5 months of erythematous papules on his left arm and leg, chest, and back. The papules later spread to his scalp and became more tender. He had previously been treated empirically for scabies with lindane, without relief, and was also using mometasone furoate cream, with minimal resolution of the papules.On examination, he had a few scattered papules on the anterior aspect of his chest and left thigh and on his left arm and buttock and 20 to 25 papules on his scalp, primarily the vertex (Figure 1). The erythematous papules, vesicles, and crust ranged from 2 to 5 mm in greatest dimension. A 1.2-cm right postauricular lymph node was palpated.A punch biopsy specimen was obtained from the patient's scalp (Figure 2 through Figure 4).What is your diagnosis?Papules and Vesicles in an 18-Month-Old Boy DIAGNOSIS: Eosinophilic References 1. Lucky AW, Esterly NB, Heskel N, Krafchik BR, Solomon LM. Eosinophilic pustular folliculitis in infancy . Pediatr Dermatol. 1984;1:202-206.Crossref 2. Taieb A, Bassan-Andrieu L, Maleville J. Eosinophilic pustulosis of the scalp in childhood . J Am Acad Dermatol. 1992;27:55-60.Crossref 3. Giard.F, Marcoux D, McCuaig C, Powell J, Russo P. Eosinophilic pustular folliculitis (Ofuji disease) in childhood: a review of four cases . Pediatr Dermatol. 1991;8:189-193.Crossref 4. Jaliman HD, Phelps RG, Fleishmajer R. Eosinophilic pustular folliculitis . J Am Acad Dermatol. 1986;14:497-482.Crossref 5. Dinehart SM, Noppakun N, Solomon AR, Smith EB. Eosinophilic pustular folliculitis . J Am Acad Dermatol. 1986;14:475-479.Crossref 6. Lucky AW, McGuire JS. Infantile acropustulosis with eosinophilic pustules . J Pediatr. 1982;100:428.Crossref 7. Falanga V. Infantile acropustulosis with eosinophilia . J Am Acad Dermatol. 1985; 13:226-228.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1997.03890420119017
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE A healthy 16-month-old white boy presented with 5 months of erythematous papules on his left arm and leg, chest, and back. The papules later spread to his scalp and became more tender. He had previously been treated empirically for scabies with lindane, without relief, and was also using mometasone furoate cream, with minimal resolution of the papules.On examination, he had a few scattered papules on the anterior aspect of his chest and left thigh and on his left arm and buttock and 20 to 25 papules on his scalp, primarily the vertex (Figure 1). The erythematous papules, vesicles, and crust ranged from 2 to 5 mm in greatest dimension. A 1.2-cm right postauricular lymph node was palpated.A punch biopsy specimen was obtained from the patient's scalp (Figure 2 through Figure 4).What is your diagnosis?Papules and Vesicles in an 18-Month-Old Boy DIAGNOSIS: Eosinophilic References 1. Lucky AW, Esterly NB, Heskel N, Krafchik BR, Solomon LM. Eosinophilic pustular folliculitis in infancy . Pediatr Dermatol. 1984;1:202-206.Crossref 2. Taieb A, Bassan-Andrieu L, Maleville J. Eosinophilic pustulosis of the scalp in childhood . J Am Acad Dermatol. 1992;27:55-60.Crossref 3. Giard.F, Marcoux D, McCuaig C, Powell J, Russo P. Eosinophilic pustular folliculitis (Ofuji disease) in childhood: a review of four cases . Pediatr Dermatol. 1991;8:189-193.Crossref 4. Jaliman HD, Phelps RG, Fleishmajer R. Eosinophilic pustular folliculitis . J Am Acad Dermatol. 1986;14:497-482.Crossref 5. Dinehart SM, Noppakun N, Solomon AR, Smith EB. Eosinophilic pustular folliculitis . J Am Acad Dermatol. 1986;14:475-479.Crossref 6. Lucky AW, McGuire JS. Infantile acropustulosis with eosinophilic pustules . J Pediatr. 1982;100:428.Crossref 7. Falanga V. Infantile acropustulosis with eosinophilia . J Am Acad Dermatol. 1985; 13:226-228.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Jun 1, 1997

References