Volume 17 - Issue 1 - January 2009

PATIENT PRESENTATION An 8-year-old Hispanic boy presented for evaluation of an acute eruption, which had begun 3 weeks prior to presentation. His parents stated that the family had been street cleaning outdoors, at which time the patient was wearing garden gloves, long pants and a shortsleeve shirt. The next day, dry scaly areas appeared on his hands. Over the next several days, the lesions progressed to involve his knees, elbows, axillae and feet. The involved areas were intermittently mildly pruritic. His past medical history was unremarkable, and the child was otherwise healthy, w