Blistering Rash in an Adolescent

An 11-year-old boy with a history of atopic dermatitis developed a progressive, pruritic rash on his face and extremities over 2 weeks. Bullous and superficially eroded crusted red plaques were located throughout the bilateral upper and lower extremities (Figure). He was empirically treated with cefadroxil 500 mg twice daily for 1 week along with topical mupirocin ointment. Bacterial culture showed heavy growth of methicillin-sensitive Staphylococcus aureus, confirming the diagnosis of bullous impetigo.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Rediscovering the Physical Exam Source Type: research