Patient Case: What Are These Red Lesions?

Shared by a physician in the UK specializing in Geriatric Medicine, Internal Medicine, and Hospital Medicine

A 6-year-old patient presented recurrent red circular lesions.

The first lesion appeared on the hip when the patient was on holiday in Spain over a month ago. That lesion was about 5cm in diameter and very itchy.

Since the first lesion, multiple additional red lesions have appeared on the upper limbs and torso. This time, they’re less itchy and in fact the patient does not appear to be too bothered by them.

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There is no central punctum to suggest they are bites.

Child is otherwise well with no fever or other symptoms, and biochemistry was unremarkable.

How would you suggest treating this patient? Any recommendations on how this doctor should proceed?

Physicians consult each other on patient cases like this regularly on Sermo. It offers doctors additional peer support and yields better patient outcomes at no cost to any healthcare system. If you’re a doctor and you’re ready to weigh-in, login to help this doctor out!,