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Forum Name: Dermatology Topics

Question: Infant -white blister on under Foot and arms


 faiz - Sat Jul 10, 2010 5:43 pm

Hi,

My 4 months old daughter suddenly developed rash like -white blisters (liquid filled) on her bottom of the feet (on both the legs )and her palms. These white blisters burst and liquid comes. See the picture. This is not a diaper rash. She doesnot have any fever or pain. Might be having some itching, since she is rubbing her legs some time. Initially it started like small pimple like bumps and then started disappearing and now it again spreading like white blisters.

1.1st Leg http://picasaweb.google.com/s.faizalkhan/SkinIssue#5492411108645176130
2. 2nd Leg http://picasaweb.google.com/s.faizalkhan/SkinIssue#5492411082983551746

We have consulted our peadiatrician and he could not help to figure out the issue. Since we have to wait for next 3 days to get determatalogy's appointment - we want a quickly get some opinion and solution from this forum for our help.
 Dr.M.jagesh kamath - Sun Jul 11, 2010 9:24 pm

User avatar Hello,This infant could be having infantile acropustulosis which is typically seen with involvement of palms and soles starting by 2 months.Generally selflimiting,it is treated with external application of steroids.The lesions are generally itchy and form pustular or waterfilled vesicles.
The other diagnosis would be bullous impetigo which responds to antibiotics.The important thing will be to rule out congenital,and acquired blistering diseases.The foremost would be BullousPemphigoid which luckily in infancy and childhood carries a good prognosis.
Best wishes for speedy recovery.

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