Tense Bullae on the Hands

A 5-year-old girl presented to the dermatology clinic for evaluation of pruritic papules and blisters on the hands and forearms for three months. She was seen by her pediatrician, diagnosed with dyshidrotic eczema, and prescribed topical triamcinolone with no improvement. She reported itching everywhere, but her parents noted she most frequently scratched her hands and forearms. The itching was worse at night. No close contacts experienced pruritus. She had no history of inflammatory dermatoses or other medical problems.

Source: The Journal of Pediatrics - May 28, 2020 Category: Pediatrics Authors: Christina N. Kraus, Janellen Smith Tags: Rediscovering the Physical Exam Source Type: research