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Pathological Case of the Month
Giampaolo Ricci, MD;
Annalisa Patrizi, MD;
Domenico Misciali, MD;
Massimo Masi, MD
From the Departments of Pediatrics (Drs Ricci and Masi) and Clinical and Experimental Medicine (Drs Patrizi and Misciali), Division of Dermatology, University of Bologna, Bologna, Italy.
Arch Pediatr Adolesc Med. 2001;155:195-196.
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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 FEBRILE 10-year-old girl was referred for evaluation of a diffuse febrile papulovesicular eruption present for 5 days consisting of rare sparse vesicles with a tiny erythematous halo and some papules on the trunk and legs with mild itching (Figure 1 and Figure 2). Her temperature had fluctuated between 38°C and 40°C, and on the third day, the family pediatrician began acyclovir treatment (800 mg, 5 times daily) for suspected varicella infection, which she had had 4 years prior. The cutaneous lesions increased in number and size, some showing central necrosis. Her history was otherwise unremarkable. Few cutaneous lesions were present on the head; the palms of her hands, soles of her feet, and mucous membranes were spared.
Findings from laboratory examinations included a high white blood cell count (12.7 x 109/L) with increased neutrophils . . . [Full Text of this Article]
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