13 month old African American girl with chronic bullous eruption

    A term8-month-old black female was hospitalized for an impetiginized eczematous’ eruption. The eruptionwas primarily on the face and diaper areas, progressing since she was 2 months old. It was worsening in spite of moderate treatment with corticosteroids. She was formula fed, but anorexic with failure to thrive. During her hospitalization, she was diagnosed with buccal candidiasis and allergies to bovine milk and soy products. Three months later, she was rehospitalized for suspected bullous impetigo and irritant dermatitis and treated with intravenous cloxacillin and topical 1% hydrocortisone cream. Child abuse and parental negligence were suspected, and the patient was placed in foster care.


    This case will be discussed at Dermpedia Practical Dermatopathology Update Course in Scottsdale (April 16-18, 2010)