Bully bullae in a toddler spreads across the body
August 17th 2020You are asked to evaluate a healthy 19-month-old boy with a history of recurrent blisters on his arms and legs for over a year that have now spread to his face. The blisters scab over quickly, ulcerate, and heal with post-inflammatory pigmentary changes. What's the diagnosis?
A fever, liver abnormalities, and pancytopenia
August 13th 2020A previously healthy 5-week-old former term newborn male presented to the emergency department with the chief complaint of fever ranging from 101-104°F for 2 days. He also had been fussy and not been eating well. The infant remained febrile despite his mother’s administration of Infant Tylenol every 4 hours at home. His mother denied any cough, rhinorrhea, bleeding or bruising, diarrhea, vomiting, and reported stool and urine had been normal. What's the diagnosis?