Paeds

Question 1

Infantile acropustulosis

Answer 1

Benign reaction pattern
Scabies main ddx and is a proven trigger
Cutaneous immune system ‘stuck on’
Probably relates to eosinophilic pustular folliculitis of infancy
Treat: potent topical steroids, oral pred bursts, dapsone reported
Matures and usually settles by age 1