A Localized Rash in a 3-Year-Old Child
November 2014
in “
The Pediatric Infectious Disease Journal
”
TLDR The child was diagnosed with a skin condition involving inflamed hair follicles.
A 3-and-a-half-year-old Japanese girl presented with itchy skin lesions on her left hip, initially treated with topical methylprednisolone with some improvement, but the lesions reappeared. Physical examination showed erythematous nodules and papules forming an indurated plaque. A biopsy revealed a dense infiltrate of neutrophils, lymphocytes, and eosinophils, with suppurative folliculitis in a hair follicle. Initial tests for dermatophytes were negative, and treatment with hydrocortisone cream showed minimal improvement. Further examination revealed extensive suppurative folliculitis and a mixed granulomatous reaction, leading to the final diagnosis.
