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Images in paediatrics
Acral bullae in an infant
  1. Sanjana Iyengar,
  2. Smita Awasthi,
  3. Nasim Fazel,
  4. Jonathan Okman,
  5. Faranak Kamangar,
  6. Victoria R Sharon
  1. Department of Dermatology, University of California Davis, Sacramento, California, USA
  1. Correspondence to Dr Victoria R Sharon, Department of Dermatology, University of California, Davis, 3301 C Street, Suite 1400, Sacramento, CA 95816, USA; vsharon{at}

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A previously healthy 3-month-old male presented to the hospital with an acute onset of vesicles coalescing into tense bullae on the hands and feet. On admission, vesicles, erosions and tense bullae were noted on the palms and soles (figure 1). Complete blood count showed mildly elevated white blood cells with peripheral eosinophilia. A punch biopsy revealed a subepidermal …

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  • Competing interests None declared.

  • Patient consent Obtained from the parents.

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