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Picture of the Month—Quiz Case
Paul Chang, BS;
Deepa Mukundan, MD
Arch Pediatr Adolesc Med. 2008;162(12):1189.
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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 5-year-old girl was admitted for acute onset of a tender, diffuse, erythematous rash that was present around the eyes, lips, neck, axilla, trunk, genitalia, and extremities. The rash started 4 days prior to admission and was initially present on only the neck and axilla. The patient had increasing pain when she was touched or held, so she was taken to the emergency department. The physician elicited a positive Nikolsky sign, which led to the patient's admission. There was no associated fever or history of skin lesions during this illness. The medical, surgical, psychiatric, and family histories were noncontributory. There was no history of any sick contacts, immunizations were complete for her age, and she had no known drug allergies. The vital signs on admission were a blood pressure of 96/56 mm Hg, a pulse of 113 beats/min, a respiratory rate of 20 breaths/min, . . . [Full Text of this Article]
Author Affiliations: Division of Infectious Diseases (Dr Mukundan), University of Toledo College of Medicine (Mr Chang), Toledo, Ohio.
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