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Insect bites and fever: what is your diagnosis?
  1. Mariana Canato,
  2. Marjorie Uber,
  3. Vânia Oliveira Carvalho
  1. Division of Pediatric Dermatology, Department of Pediatrics, Federal University of Paraná, Hospital de Clínicas da UFPR, Curitiba, Paraná, Brazil
  1. Correspondence to Dr Mariana Canato, Division of Pediatric Dermatology, Federal University of Paraná, Hospital de Clínicas da UFPR, Rua General Carneiro 181, 14 andar, Curitiba, Paraná, Brazil; marianacanato{at}hotmail.com

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A 21-month-old healthy baby girl presented with an erythematous patch on her right leg, which evolved in 3 days to oedema, intense erythema and blister formation on the surface. She also had local pain and fever. Ten days before that, she had played in the garden, and on the same day, erythematous and pruritic papules appeared on her lower limbs. Physical examination revealed blisters with a well-defined erythematous and infiltrated background and a central exudative area on the right leg (figure 1A). Bullous ulcerated lesions and in linear distribution were present in …

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