Generalized orf superinfection in a child with atopic dermatitis

Abstract

A 15-year-old boy presented with an exacerbation of early-onset atopic dermatitis (AD), an overall slump feeling without fever and newly developed skin lesions. Occipital examination showed a 4 × 5 cm, painful, erythematous, multilobular node with purulent exudate on a red-to-purple base, surrounded by multiple papulonodules (figure 1A). A bacterial infection was suspected and treated with amoxicillin, with triamcinolone acetonide ointment for his eczema. Five days later he presented with multiple [...]