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    Acute pruritic eruption on a child’s face and hands

    The case

    You are asked to evaluate a healthy 9-year-old girl with an itchy rash on her face, neck, and hands for a week. She had a similar eruption 1 month ago that resolved over several days. Although she has a history of poison ivy, her parents knew of no exposure. There was no history of new topical skin products. However, she had begun to eat more seasonal fruits recently, including strawberries, grapes, and mangos.

    NEXT: What's the diagnosis?

    Adel S Haque, BS, MS4
    Mr Haque is a 4th-year medical student at the Medical College of Georgia, Augusta University, Augusta, Georgia.
    Matthew D Belcher, MD
    Dr Belcher is a PGY-4 dermatology resident, Division of Dermatology, Medical College of Georgia.
    Loretta S Davis, MD
    Dr Davis is professor of Dermatology, Division of Dermatology, Medical College of Georgia.

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