Sacha, 10 years old, Lesions that should not be overlooked

It was eczematiform dermatitis with molluscum contagiosum (MC).

Let’s rule out differential diagnoses:

• Scabies:

Lesions with geographic edges, inflammatory at the edges, with scarring at the centre, centrifugal, recent +- pruritic. Animal contact and mycology if necessary.

- Flare-ups with periods of remission, history of atopy, pruritus, xerosis.

- Location of the lesions: face, skin folds, limbs.

- Jagged eczema lesions.

- No infectious contact or animals.

• Atopic dermatitis:

- Flare-ups with periods of remission, history of atopy, pruritus, xerosis.

- Location of the lesions: face, skin folds, limbs.

- Jagged eczema lesions.

- No infectious contact or animals.

• Mycosis (ringworm):

Nocturnal pruritus, pruritus in family members, infectious contact, clinical features with furrows.

It was eczematiform dermatitis with molluscum contagiosum (MC).

Let’s rule out differential diagnoses:

• Scabies:

Lesions with geographic edges, inflammatory at the edges, with scarring at the centre, centrifugal, recent +- pruritic. Animal contact and mycology if necessary.

- Flare-ups with periods of remission, history of atopy, pruritus, xerosis.

- Location of the lesions: face, skin folds, limbs.

- Jagged eczema lesions.

- No infectious contact or animals.

• Atopic dermatitis:

- Flare-ups with periods of remission, history of atopy, pruritus, xerosis.

- Location of the lesions: face, skin folds, limbs.

- Jagged eczema lesions.

- No infectious contact or animals.

• Mycosis (ringworm):

Nocturnal pruritus, pruritus in family members, infectious contact, clinical features with furrows.

It is indeed eczematiform dermatitis with molluscum contagiosum (MC).

Let’s rule out differential diagnoses:

• Scabies: 

Nocturnal pruritus, pruritus in family members, infectious contact, clinical features with furrows.

• Atopic dermatitis:

- Flare-ups with periods of remission, history of atopy, pruritus, xerosis.

- Location of the lesions: face, skin folds, limbs.

- Jagged eczema lesions.

- No infectious contact or animals.

• Mycosis (ringworm):

Lesions with geographic edges, inflammatory at the edges, with scarring at the centre, centrifugal, recent +- pruritic. Animal contact and mycology if necessary.

It was eczematiform dermatitis with molluscum contagiosum (MC).

Let’s rule out differential diagnoses:

• Scabies:

Lesions with geographic edges, inflammatory at the edges, with scarring at the centre, centrifugal, recent +- pruritic. Animal contact and mycology if necessary.

- Flare-ups with periods of remission, history of atopy, pruritus, xerosis.

- Location of the lesions: face, skin folds, limbs.

- Jagged eczema lesions.

- No infectious contact or animals.

• Atopic dermatitis:

- Flare-ups with periods of remission, history of atopy, pruritus, xerosis.

- Location of the lesions: face, skin folds, limbs.

- Jagged eczema lesions.

- No infectious contact or animals.

• Mycosis (ringworm):

Nocturnal pruritus, pruritus in family members, infectious contact, clinical features with furrows.