Rash

Small vesicular lesions developing slowly over 24 hours on all skin surfaces. Some have tails. Has not been scratching them. No treatment at home. Has been out in timber. Does have 2 large dogs and cats in the home, chickens and goats outside. Was in the timber yesterday (Pacific Northwest location). No visible “bugs” of any nature. No previous condition like this. No chronic diseases or exposure to new foods or chemicals or plants. No associated symptoms. Is at home parent to 2 yo. Has not traveled recently.

Similar cases

A patient sent these photos to the office. Male, 34y/o, c/o papules that started on palms of hands and soles of feet and disseminated to arms and trunk. Has had these papules for about 7-10 days, patient unsure of duration. He denies fever, pain, itching, cough or general malaise. He denied any physical sx. Stated, “I feel fine, but they aren’t going away”. Hx of schizophrenia, 10 years medication hx of clozapine, loxapine, Ativan and escitalopram. Last labs drawn show slightly elevated Cr and CK. Lives with family in home with one cat and one dog. Works in community and is frequently around people.

Flea bite about day 2, 26 yo female living with a dog and cat at home. No scratching nothing abrasive against bite besides a loose sock. Patient has hx of allergic reaction to flea bites. Blister and intense redness, non-puritic and slightly sore it touched. Other flea bites around ankles are itchy but not blistered.

3y 10m old toddler comes into clinic with this new skin eruption. on no meds. no medical except autism. no pets in the home. was scratched by a neighbours cat 2 days ago but has been around cats and dogs before. Rash is not red nor any puritis. no fever or signs of viral inf. any ideas??

A middle aged man presented with skin lesions as shown in the picture. He has been having these lesions for around one month, itchy no pain, no oozing lesions from the lesion. no fever or chills. No history of similar lesions in other family members no history of similar lesions in other family members. No history of bedbugs at home.