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Miscellanea
Images in paediatrics
Red palms associated with adenovirus gastroenteritis
  1. JH Chong1,2,
  2. D Mermin1,
  3. A Marti1,
  4. ME Lafon3,
  5. AS Dutkiewicz1,
  6. C Léauté-Labrèze1,
  7. F Boralevi1
  1. 1 Pediatric Dermatology Unit, Hôpital Pellegrin-Enfants, Bordeaux, France
  2. 2 Dermatology Service, KK Women's and Children's Hospital, Singapore, Singapore
  3. 3 Department of Virology, Centre Hospitalier Universitaire, Bordeaux, France
  1. Correspondence to Dr JH Chong, Department of General Pediatrics, Dermatology Service, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore; chong.jin.ho{at}singhealth.com.sg

https://doi.org/10.1136/archdischild-2016-312107

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    A 23-month-old girl presented with fever, vomiting and diarrhoea for 3 days. Her palms were warm, pruritic and erythematous with papules and patches (figure 1). The dorsal surfaces of the hands (figure 2) and soles were largely spared.

    Figure 1

    Erythematous papules and patches on bilateral palms. There is a clear cut-off between the affected palms and unaffected wrists.

    Figure 2

    Relative sparing of the dorsum of the hand.

    Full blood count and …

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    Footnotes

    • Contributors JHC wrote the first draft. All authors participated in the management of this patient and corrected and approved the final manuscript.

    • Competing interests None.

    • Patient consent Parental/guardian consent obtained.

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