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Contributor

Bernard Cohen, MD

Diagnosis

insect bite reaction papular urticaria

Body Site

leg back

Age

4 years

Pigmentation

dark

Organization

linear grouped, clustered

Color

red

Morphology

papule

Pattern

symmetric

Comments

This healthy 4-year-old girl developed a chronic and recurrent pruritic papular eruption on exposed areas particularly the legs 6 months ago. The lesions began as edematous red papules many with a central vesicle. Scratching led to central crusting and hypopigmentation with a surrounding hyperpigmented ring.

Description

uniform edematous papules with central crusting and hypopigmentation and peripheral hyperpigmentation grouped in a linear pattern

Categories

environmental injury hypersensitivity linear eruptions

Image Added

8/19/2009 22:48:00

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Other Resources

PubMed Medline Plus Medscape

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