Infantile acropustulosis. Vesicles and pustules on the palm of an infant.
Infantile acropustulosis. Vesilces and pustules on infants’ heel.
CLINICAL FEATURES
Recurrent crops of pruritic pustules and vesicles on the palms and soles characterize infantile acropustulosis. Onset may be at birth or any age up to 3 years. Pruritus is expressed as irritability and fretfulness in infants without the coordination to effectively scratch. Vesicles resolve with scale and, sometimes, lichenification. The itchy lesions mimic scabies.
TREATMENT
Mid to strong-potency topical steroid ointments or creams applied twice daily will relieve symptoms, but not influence the recurrences. Occasionally, oral antihistamines such as hydroxyzine 2 mgm/kg/day may be required to control pruritus.
