Peripheral arterial pulses were symmetric and no vascular or heart bruits were audible. Objectively, she was afebrile and presented digital plaques of dry necrosis, with edema and redness of the distal end of the affected fingers, without fluctuation or drainage of any content ( Fig. Later on, the fingertip lesions progressively evolved into necrotic lesions and, after two months of the initial presentation, she was observed at our hospital. One week before, she was diagnosed with Acute Otitis Media and was treated with amoxicillin/clavulanic acid for 8 days. She had no previous burn, trauma or other associated events. We report a case of a 14-month-old girl, with no relevant pathological history, which presented additive bullous lesions on her hands and feet fingertips.
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