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Visual Diagnosis in Emergency Medicine| Volume 64, ISSUE 5, P645-646, May 2023

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Child with Bullous Lesions of the Skin

  • Nehal Bhandari
    Correspondence
    Reprint Address: Nehal P. Bhandari, MD, Children's Healthcare of Atlanta, 1547 Clifton Rd., 2nd Floor, Atlanta, GA 30033
    Affiliations
    Department of Pediatrics, Division of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia

    Children's Healthcare of Atlanta, Atlanta, Georgia
    Search for articles by this author
  • Jacinta E. Cooper
    Affiliations
    Department of Pediatrics, Division of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia

    Children's Healthcare of Atlanta, Atlanta, Georgia
    Search for articles by this author
Published:February 28, 2023DOI:https://doi.org/10.1016/j.jemermed.2023.02.004
      A 7-year-old girl presented to the pediatric emergency department (ED) with leg lesions for more than a year. The lesions started out as dusky, pruritic patches mainly on the lower legs. After a course of triamcinolone ointment, she developed blisters on the legs, arms, and trunk. She was then started on clindamycin by her primary care physician due to concern for skin infection. After an evaluation by a dermatologist, she was diagnosed with eczema and the clindamycin was discontinued. She then began treatment with topical crisaborole ointment, monoclonal antibody ustekinumab (human interleukin-12 and -23 antagonist), diphenhydramine, and continued topical steroid ointments.

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