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Pathological Case of the Month
Amir Bajoghli, MD;
Franz E. Babl, MD, MPH;
Robin L. Travers, MD
From the Departments of Dermatology (Drs Bajoghli and Travers) and Pediatrics (Dr Babl), Boston University School of Medicine, Boston Medical Center, Boston, Mass.
Arch Pediatr Adolesc Med. 1999;153:891-892.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 15-MONTH-OLD African American boy with a history of atopic dermatitis since the age of 2 months was brought to the emergency department by his mother for an exacerbation of his chronic dermatitis. He had been regularly observed by his primary care physician and dermatologist, and the dermatitis was managed with topical corticosteroids and emollients. Over the 5 days prior to admission, he developed worsening pruritus, increased weeping lesions, irritability, and fever. He had no history of chickenpox; however, he had received a live, attenuated varicella vaccine (Varivax; Merck & Co, Inc, West Point, Pa) 5 days before admission. He had had contact with a visitor with "cold sores" 2 months earlier. On physical examination the child was irritable, uncomfortable, and constantly scratching. Rectal temperature was 40°C. Punched out erosions with an erythematous base were confluent on the . . . [Full Text of this Article]
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