Child with bullous lesions of the skin

A seven-year-old female presented to the pediatric emergency department with leg lesions for more than a year. The lesions started out as dusky, pruritic patches mainly on the lower legs. After a course of triamcinolone ointment, she developed blisters on the legs, arms, and trunk. She was then started on clindamycin by her primary care physician due to concern for skin infection. After an evaluation by a dermatologist, she was diagnosed with eczema and the clindamycin was discontinued. She then began treatment with topical crisaborole ointment, monoclonal antibody ustekinumab (human interleukin-12 and -23 antagonist), diphenhydramine, and continued topical steroid ointments.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Visual Diagnosis in Emergency Medicine Source Type: research