ASPD Quiz Case 3
This 2 month old infant presented with a pruritic rash for 4 days. It initially appeared on his abdomen and then spread to involve his face and extremities. Prior to onset of rash, a GP prescribed amoxicillin for his fever and cough. Examination showed generalised, erythematous, arcuate and blanchable wheals with central clearing on his trunk, face and extremities. Dermographism and mild feet edema were noted. There was no mucosal involvement, lymphadenopathy or joint swelling noted. The infant is not in acute distress. All routine investigations including a full blood count and inflammatory markers were normal.
1. What is your Diagnosis?
Serum sickness like reaction
2. What investigations are necessary for Diagnosis?
Complete blood count with ESR and CRP
Diagnosis is based mainly on clinical grounds
3. What Treatment is Recommended?
Oral and Topical steroids
Discontinuation of offending agent
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