Dr Minnelly Luu is an assistant professor of Dermatology, Children’s Hospital Los Angeles, California, and Department of Dermatology and Pathology, Keck School of Medicine, University of Southern California, Los Angeles.
Toddler with blistering acrodermal rash
The anxious parents of a previously healthy 19-month-old boy bring the child to the emergency department for evaluation of progressive rash that began 4 months ago. The skin eruption began as small blisters on his knees, which became tense and ruptured, eventually evolving to red-pink scaly plaques. Over the next few months, the boy developed similar lesions on his hands, elbows, neck, perineal area, and face, with sparing of the mucous membranes.
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