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Recurrent papular urticaria in a 6-year-old girl
  1. K P Thieu1,
  2. P A Lio1,2,3
  1. 1
    Harvard Medical School, 25 Shattuck Street, Boston, USA
  2. 2
    Department of Dermatology, Beth Israel Deaconess Medical Center, Boston, USA
  3. 3
    Children’s Hospital Boston, Boston, USA
  1. Peter A Lio, Beth Israel Deaconess Medical Center, Department of Dermatology, 330 Brookline Avenue, Boston, MA 02115; plio{at}

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A 6-year-old female was referred for multiple pruritic lesions on her legs. No other members of the family had similar skin manifestations. The family reported having fleas at home previously, but the house had since been fumigated. Examination revealed numerous 4–8 mm excoriated, erythematous papules in clusters on the legs (fig 1).

Figure 1 Clusters of excoriated erythematous papules and healing macules on the patient’s lower extremities.

The family was reassured that these lesions were probably secondary to flea bites. However, …

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  • Funding: None.

  • Competing interests: None.

  • Patient consent: Parental/guardian consent obtained.