Does the recurrent rash in this infant signal an infestation?

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Authors: 

KIRK BARBER, MD, FRCPC––Series Editor
Alberta Children’s Hospital

Dr Barber is a consultant dermatologist at Alberta Children’s Hospital and clinical associate professor of medicine and community health sciences at the University of Calgary in Alberta.

Dermclinic
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acropustulosis of infancy

acropustulosis of infancyCase: A 10-month-old boy has had a recurrent rash on his palms and soles for the past few months. His parents describe several episodes of multiple pustules that appear and then “dry up” in about 2 weeks. They think the rash may bother the infant because he sleeps less well during flares. The family physician who initially evaluated the infant treated the entire family for scabies; however, the rash has continued to recur.

Does the recurrent rash in this infant signal an infestation?

(Answer on next page.)

 

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