Solve exciting clinical cases specific to your field of interest via Docplexus’ clinical case challenge. In today's ‘Pediatric Case Challenge’ , join your fellow doctors to discuss and answer today’s question regarding ‘Acral Bullae in a Young Girl’ A young girl presented to the pediatric emergency department for evaluation of blisters on both of her hands. Three weeks prior, she had returned from school with 2 itchy papules on her right hand. The papules continued to enlarge over the course of the day and progressed to form blisters.

The following day, she noticed similar lesions appearing on her left hand. Her pediatrician evaluated her and prescribed oral cefdinir and hydrocortisone, 2.5%, cream, but there was no substantive improvement. On further questioning, she recalled similar itchy papules appearing on her feet without progression to blisters. Her medical history was…