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Images in paediatrics
Ulcerative skin lesions following varicella infection
  1. Monika Tasani1,
  2. Justin Daniels2,
  3. Jemima Mellerio1,
  4. Anna Martinez1
  1. 1 Dermatology Department, Great Ormond Street Hospital, London, UK
  2. 2 General Paediatrics, North Middlesex Hospital, London, UK
  1. Correspondence to Dr Monika Tasani, Dermatology Department, Great Ormond Street Hospital, Great Ormond Street, London WC1N3JH, UK; mtasani{at}

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A 2½-year-old previously well Afro-Caribbean girl presented with a 1-week history of fever and a generalised non-healing, painful and itchy ulceration on the body 3 weeks after acute varicella infection. On examination, she had multiple punched-out ulcers on her torso measuring 0.5–2 cm in diameter associated with central necrosis (figure 1). She had a normal white cell count and inflammatory markers. Her varicella …

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  • Contributors All authors contributed to the writing and clinical care of the patient.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

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