Young Girl Has Multiple Painful, Serpiginous Lesions – Let’s Diagnose

Parents brought their 4-year-old daughter to the pediatrician to be seen for clusters of tense bullae and tense vesicles scattered on her body. The lesions were generally in annular or serpiginous configurations near her mouth, genital area, abdomen, arms, and legs. She complained that they were painful, felt like they were burning, and she wanted to scratch them.

Is it linear IgA bullous dermatosis of childhood, bullous impetigo, bullous pemphigoid, or herpes simplex virus?

Check out our differential on VisualDx.

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