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Images in paediatrics
The root cause of a blistering eruption
  1. Natasha Harper1,
  2. Stephen Orpin1,
  3. Anisha Mehta2
  1. 1 Department of Dermatology, Solihull Hospital, Solihull, UK
  2. 2 Department of Dermatology, Dudley Group of Hospitals, Dudley, UK
  1. Correspondence to Dr Natasha Harper, Department of Dermatology, Solihull Hospital, Lode Lane, Solihull B91 2JL, UK; Natasha.harper{at}

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A 3-year-old girl was referred to paediatrics by her general practitioner with a 2-day history of blisters on her hands. Staphylococcal scalded skin syndrome was suspected, so intravenous flucloxacillin was started. All observations, including temperature, were within normal limits. Investigations showed normal full blood count and C reactive protein. Dermatology opinion was sought and further history revealed that on the day before the …

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  • Contributors NH: assessed the patient and wrote the manuscript. SO: produced image and proof-read the manuscript. AM: consultant for patient, assessed at follow-up and approved manuscript.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.