Pruritic bullous | Figure 1

Pruritic bullous

This camper arrived two weeks ago. Started out with a single lesion, which has now healed. Since then, multiple lesions have formed. She saw a pediatrician who thought it was bullous bug bites. One staff member worried it's MRSA; never seen it look like that. Two new pustules this morning.

Similar cases

1. 75 yr old female with 2 month history of 3-7mm erythematous lesions on left lateral ankle.
   Not painful, no pruritis, no discharge, no trauma. Lesions are non blanching. Larger lesion came first and two smaller lesions followed. Hx of Graves'-disease, nil else significant. View Case

2. 80 years old, male.
   Two years ago, a small skin lesion appeared at the angle of the right jaw. The patient did not seek medical help and the lesion grew. Today he has a vegetative and expansive neoplasm, with edema and phlogistic signs. Inside the lesion, there were fly larvae (myiasis). The patient has terrible hygiene habits. View Case

3. 33 years old, female, with itching in the center of the chest for two days.
   Recurrence of these lesions in other regions such as thighs and buttocks. Local allergic reaction to contact with metal (for example: metallic shirt buttons). The examination shows erythematous lesions with small papules on the surface. View Case

4. 35 years old, female. Pruritic lesions in the anterior chest two weeks ago.
   No pathological history. View Case

Patient Presentations

• A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department. View Case

• A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area. View Case

• A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest. View Case

• Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family. View Case