Rash in Creases
UnFiNiShEd CaSe CoMe BaCk LaTeR
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History of Present Illness:
A 3-year-old male is brought to the ED for 1 day of poor fluid intake and 2 days of a painful rash around the mouth, axilla, collar, armpits, inner elbows and groin. They noticed some minor blistering with some areas turning to small scabs. There has been a low grade fever up to 100.4
Vital Signs & Physical Exam:
Vital signs are normal. Physical exam is normal except for the child is crying and there is a scattered rash mostly in creases/flexural areas with superficial sloughing. The throat and peri-oral areas are erythematous with some small areas of sloughing.
Initial Differential Diagnosis: impetigo, scarlet fever, viral syndrome, scalded skin syndrome, candidal intertrigo
Initial Diagnostic Testing:
- Labs: normal except for bicarb of 18 and lactic acid of 2.3
- Imaging: none
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