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An 18-month-old boy with a widespread bullous eruption
  1. Gemma Buckley1,
  2. Katherine Belessiotis2,
  3. Ina Schim van der Loeff2,
  4. Krishna Jada1,
  5. Virginia A Hill3
  1. 1Department of Paediatrics, Barnet Hospital, Royal Free London Foundation NHS Trust, Barnet, Hertfordshire, UK
  2. 2University College London Medical School, London, UK
  3. 3Department of Dermatology, Barnet Hospital, Royal Free London NHS Foundation Trust, Barnet, Hertfordshire, UK
  1. Correspondence to Dr Virginia A Hill, Barnet and Chase Farm Hospitals, Wellhouse Lane, Barnet, Hertfordshire EN5 3DJ, UK; Virginia.hill{at}

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An 18-month-old boy presented with an erythematous vesiculobullous pruritic eruption of the perioral and perineal regions, which was initially mistaken for chicken pox then bullous impetigo. However, after several days multiple tense serosanguinous bullae developed over an estimated 70% of his body, including his face and extremities (figure 1A). There was no obvious mucosal involvement. He remained well and afebrile. Resolving central bullae became circumscribed by smaller emerging …

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  • Competing interests None.

  • Patient consent Obtained from the parents.

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