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Painful rash in a screaming toddler
  1. Sarah Sweeney Pinney1,
  2. Julia Kauffman1,
  3. Sharon R Hymes2
  1. 1 Dermatology, KP Dermatology, Houston, Texas, USA
  2. 2 Dermatology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA
  1. Correspondence to Dr Sarah Sweeney Pinney, KP Dermatology, Houston, TX 77024, USA; Sarahpinney{at}kpderm.com

https://doi.org/10.1136/emermed-2019-208741

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    Clinical introduction

    A healthy 2-year-old boy developed a sudden-onset painful rash while on a walk outdoors in Texas. The caretaker noted that the walk was uneventful, and the course taken was a paved neighbourhood sidewalk travelled many times without incident. During the walk, the toddler picked up rocks, leaves and various other objects on the ground. On exam, edematous plaques with lymphangitis were noted on the left arm. He was inconsolably …

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    Footnotes

    • Contributors SSP: diagnosed, drafted and researched article content and took photos. SRH and JK: research and editing of manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Patient consent for publication Parental/guardian consent obtained.