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A Girl With an Asymmetric Itchy Rash Over the Right Axilla and Right Upper Chest
Alexander K. C. Leung, MD; Benjamin Barankin, MD; and Joseph M. Lam, MD
Leung AKC, Barankin B, Lam JM. A girl with an asymmetric itchy rash over the right axilla and right upper chest. Consultant. 2018;58(4):131-133.
A previously healthy 20-month-old girl presented with a 1-week history of erythematous pruritic papules that had originated over the right axilla and upper chest and had extended to involve the right arm, leg, back, and the contralateral body.
Two weeks prior to the eruption, she had a runny nose and cough that had lasted for a few days. Her history was otherwise unremarkable, and she was not on any medications. Her other family members were unaffected.
Physical examination revealed erythematous papules over the chest, back, arms, and legs, with preferential involvement of the right side of the body, and coalescent at places around the right axilla. The rest of the physical examination findings were unremarkable. In particular, there was no regional lymphadenopathy.