25. Confluent Rash on a Child

  1. Christopher P. Holstege MD3,4,5,
  2. Alexander B. Baer MD3,6,
  3. Jesse M. Pines MD, MBA, MSCE7,8 and
  4. William J. Brady MD9,10,11
  1. Sarah E. Winters MD, MSCE1 and
  2. Brendan G. Carr MD, MS2

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch25

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Winters, S. E. and Carr, B. G. (2011) Confluent Rash on a Child, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch25

Editor Information

  1. 3

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 4

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 5

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 6

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 7

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 8

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 9

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 10

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 11

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. 1

    Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA

  2. 2

    Departments of Emergency Medicine and Epidemiology, University of Pennsylvania, Philadelphia, PA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 25, confluent rash - on a child;
  • 2-year-old boy, no medical history - diffuse rash, over bilateral lower extremities;
  • rash for past 2 days, progressing - to trunk and upper extremities;
  • no complaints of itching or fever;
  • physical examination, multiple confluent lesions - with central clearing diffusely;
  • lesions, on palms and soles - prominent on bilateral lower extremities;
  • no conjunctival injection, and no sores - in or around mouth or genital area;
  • next most appropriate management strategy, at this time