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Image Number #8876 (Insect bite reaction 1)

Diagnosis: Insect bite reaction 1

Description:

Papulovesicular lesions in a line on the forehead

Morphology: Vesicles

Site: Forehead

Sex: F

Age: 38

Type: Clinical

Submitted By: Ian McColl

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Differential Diagnosis
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History:

Patient of Dr

38 year old lady with no medical history presenting with swollen and slightly itchy lesions on forehead of 2 days duration. Had self managed prior to presentation with SOOV cream (anti-septic) and prior to that a day of 1% hydrocortisone cream.

On presentation there were three distinct plaques with a ?central vesicle ( applogies that the photos are not in the best focus) Swollen and not much surrounding erythema or warmth.

Viral PCR swab was taken and resulted negative for HSV 1 & 2 and VZV.

Followed up 4 days later the duration of which she only applied solugel with oral anti-histamines with which it settled down beautifully.

Diagnosis ? Insect Bite
?Papular urticaria

 



 

Case Comments   
I think insect bite reactions. (Submitted By: Dr Ian McColl)

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Insect bite reaction 1"

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