Burn, Hot Water/thermal, Abuse, Child - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

burn, hot water/thermal abuse, child

Body Site

genital diaper area penis thigh

Age

16 months

Pigmentation

dark

Organization

Color

red skin color

Morphology

vesiculobullous (blister, pustule)

Pattern

asymmetric

Comments

This 16 month old boy sustained a full thickness burn to the anogenital area after being held in a tub under a hot water spigot. Some areas on the penis required grafting to repair the resulting defect. Note the sharp line of demarcation along the thighs. Although these bullae were initally mistaken for bullous impetigo, the intense pain, the large size and tenseness of the inatct bullae, the lack of purulent exudate, and the acute onset of the eruption were not consistent with infection in this normal host.

Description

large bullae on a red base

Image Added

3/16/2003 21:44:47

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Other Resources

PubMed Medline Plus Medscape

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