Patient #1 was a 12 year old boy who presented with a 3 day history of
a pruritic rash on the lips and perioral area which was so
uncomfortable it was difficult for him to open his mouth. He had a history of
severe sensitivity to poison ivy, but no recent history of outdoor
plant exposure. The rash responded to use of class 1 topical
corticosteroids for several days followed by tapering.
Patient #1 (click image to enlarge)
Patient #2 was a 42 year old woman who presented with a 4 day history
of an erythematous, pruritic eruption of the lips and chin. She was
seen by her primary care physician who placed her on oral acyclovir and
hydroxyzine without improvement. She had a history of poison ivy, but
denied recent exposure.
Patient #2 (click image to enlarge)
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