A female student presented with such lesion, no history of burn, or injury or contact with chemical, slight itching was there at night and noticed such eruption in morning

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BLISTER BEETLE DERMATITIS or PAEDERUS DERMATITIS, an IRRITANT CONTACT DERMATITIS--- - Soap Water Wash--- - Treat like ICD, ie Topical Corticosteroid, Antihistaminic.

Yes, BULLOUS Lesson, due to release of it's Coelomic Secretion, ie PAEDERIN, a Potent Vasicant---
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PADERUS DERMATITIS. To confirm the diagnosis touch the affected area slightly. If it's paederus dermatitis then burning occurs there that's why patient pull back the affected part immediately. This is called "Pulled back sign of Ashish" and helpful in differenting from other DDs. Treat with topical steroid twice a day application, oral steroid mini pulse, oral antihistaminic of choice. Antibiotic rarely needed if secondary infection in there. Better to give an injection of TT as lesion might have tetanus spore brought by insect sting or body parts.

? PEDEROUS DERMATITIS.. ? IRRITANT CONTACT DERMATITIS.. TOPICALLY ANTISEPTIC ANTIALLERGIC OINTMENT.. TOPICALLY STEROIDS ..SOS.. ORALLY ANTIHISTAMINICS LEVOCETIRIZINE USEFUL FOR ITCHING.. ORALLY DEFLAZACORT..SOS..

Tnx a lot Dr Amitabha Dasgupta
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SUGGESTGIVE. OF PAEDERUS DERMATITIS

Bullous impetigo Clean areas with soap water Crust is to be easily removed Mupirocin oint to apply locally Tab Coamoxyclav 625mg TDS×7days Antiallergics SOS Multivitamin Maintain personal hygiene

? Paederus Dermatitis ? Irritant Contact Dermatitis

Chemical contact dermatitis

Blister beetle dermatitis

Paederus dermatitis

Paederus dermatitis

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