A 2-Year-Old Girl With Intense Itching

Maria Silvana Horenstein, MD; Eduardo Franklin Horenstein, MD

July 17, 2017

Editor's Note: The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.

Background

A 2-year-old girl presents to her pediatrician with a 1-week history of a worsening papular rash associated with intense pruritus on the trunk, arms, and hands (see Figure 1 ).

(Enlarge Image)

Figure.

The itching is worse at night. She had not used any oral or topical medications before the onset of pruritus. Her parents deny any history of allergies, concurrent fever, or other illness. Her vaccination schedule is up-to-date. The patient's recent social history includes a summer vacation to the mountains 3 weeks before her parents noticed the skin rash.

References

1 2 3 4 5 6

Next Section

Cite this: A 2-Year-Old Girl With Intense Itching - Medscape - Feb 26, 2015.

Comments

Commenting is limited to medical professionals. To comment please Log-in.

Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.