Author Affiliations:Departments of Pediatrics (Dr Sánchez Fernández) and Dermatology (Drs González Ensenat and Vicente Villa), Hospital Sant Joan de Déu, and Department of Dermatology, Hospital Clínic (Dr Julià Manresa), Barcelona, Spain.
A 4-year-old girl presented with an extremely pruritic, painful, bullous, linear lesion on the plantar surface of her left foot (Figure 1and Figure 2). The eruption started during a 3-week trip to Pipa (in northeastern Brazil), where she had been visiting her father. She was treated with a 5-day course of topical mupirocin and oral amoxicillin–clavulanic acid, without improvement. The cytologic study performed with liquid extracted from the bullae showed a mixture of inflammatory cells with a predominance of eosinophils.
Bullous lesion on the plantar surface of the left foot.
Linear pattern on the bullous lesion.
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