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Picture of the Month—Quiz Case
Iván Sánchez Fernández, MD;
Marc Julià Manresa, MD;
Maria Antonia González Ensenat, MD;
Maria Asunción Vicente Villa, MD
Arch Pediatr Adolesc Med. 2008;162(5):485.
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A 4-year-old girl presented with an extremely pruritic, painful, bullous, linear lesion on the plantar surface of her left foot (Figure 1 and Figure 2). The eruption started during a 3-week trip to Pipa (in northeastern Brazil), where she had been visiting her father. She was treated with a 5-day course of topical mupirocin and oral amoxicillin–clavulanic acid, without improvement. The cytologic study performed with liquid extracted from the bullae showed a mixture of inflammatory cells with a predominance of eosinophils.
Figure appears in full text version.
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Figure 1. Bullous lesion on the plantar surface of the left foot.
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Figure appears in full text version.
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Figure 2. Linear pattern on the bullous lesion.
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What is your diagnosis?
Author Affiliations: Departments of Pediatrics (Dr Sánchez Fernández) and Dermatology (Drs González Ensenat and Vicente Villa), Hospital Sant Joan de Déu, and Department of Dermatology, Hospital Clínic (Dr Julià Manresa), Barcelona, Spain.
SECTION EDITORS: SAMIR S. SHAH, MD; ALBERT C. YAN, MD
RELATED ARTICLE
Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2008;162(5):486.
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