Dermatology Oasis

Editor: Nameer Al-Sudany, MD (IRAQ)

Urticaria-like erythema multiforme


A 10-year-old boy presented with a one-week history of slightly itchy, bilateral symmetrical weal-like lesions confined to the thighs. The lesions were persistent (not evanescent), devoid of purpuric elements and on closer examination few lesions had targetoid appearance. He had no history of a preceding infection or drug intake. He was diagnosed as an urticaria-like EM and was given an oral antihistamine (Cetrizine) plus twice daily applications of Mometazone furoate cream with complete disappearance of the rash within 10 days.