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American Academy of Pediatrics
Index of Suspicion

Case 6: 17-year-old Girl with a Skin Reaction from a Home Remedy

Tyler Fick, Ramya Keshavaram and Douglas McLaughlin
Pediatrics in Review April 2018, 39 (4) 218; DOI: https://doi.org/10.1542/pir.2016-0201
Tyler Fick
*Nationwide Children’s Hospital, Columbus, OH
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Ramya Keshavaram
*Nationwide Children’s Hospital, Columbus, OH
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Douglas McLaughlin
*Nationwide Children’s Hospital, Columbus, OH
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  1. Tyler Fick, MD*
  2. Ramya Keshavaram, MD*
  3. Douglas McLaughlin, MD*
  1. *Nationwide Children’s Hospital, Columbus, OH
  • AUTHOR DISCLOSURE

    Drs Fick, Keshavaram, and McLaughlin have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.

Presentation

A 17-year-old previously healthy girl with no chronic medical conditions presents to the clinic with a rash on her face. Three days before presentation, she awoke with the painful red rash. The day before onset she had pruritus of her chin without any other signs or symptoms and no other changes to the skin per her report. She has no history of eczema or allergies. She uses foundation for makeup and has not changed brands in more than a year. She notes no changes in soap or skin care products. There is no new exposure to detergents, plants, latex, nickel, or jewelry. No family members have similar skin lesions. She has not applied any other creams/lotions to the rash. Over the next 2 days the rash became more erythematous and painful but less pruritic. On presentation to the clinic the rash is erythematous and patchlike, with central ulcerations, well-demarcated borders, and overlying healing bullae along the chin and lower face (Fig). Vitals are all within normal limits. No other rashes are present on physical examination, and there are no other abnormal findings on examination.

Figure.

Clinical images of the chin and face with the described rash on presentation to our clinic, obtained via secure methods.

On further …

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Pediatrics in Review: 39 (4)
Pediatrics in Review
Vol. 39, Issue 4
1 Apr 2018
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Case 6: 17-year-old Girl with a Skin Reaction from a Home Remedy
Tyler Fick, Ramya Keshavaram, Douglas McLaughlin
Pediatrics in Review Apr 2018, 39 (4) 218; DOI: 10.1542/pir.2016-0201

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Case 6: 17-year-old Girl with a Skin Reaction from a Home Remedy
Tyler Fick, Ramya Keshavaram, Douglas McLaughlin
Pediatrics in Review Apr 2018, 39 (4) 218; DOI: 10.1542/pir.2016-0201
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