HPI: The patient is a 3-year-old Caucasian female with no past medical history who presents for evaluation of a red, itchy rash. The mother reports that the rash started 2 - 3 months ago on the face, neck, ears, scalp and arms. The lesions start as itchy blisters that erupt and leave crusted, red sores. The lesions on the arms have faded into white patches, but the patient continues to develop new blisters on the face and scalp. The patient was instructed to use HC Valerate, Bactroban and Zyrtec. She also took a course of oral antibiotics. Nothing has improved her condition.
Medications: HC Valerate 0.2% cream, Zyrtec, Bactroban
Family History: No family history of blistering disorders.
PE: Erythematous, eroded grouped papules on the glabella, forehead and nasolabial folds (fig. 1) and pre-auricular surface (fig. 2).
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