Race for the Case

Race for the Case is a clinical quiz feature published quarterly in DermWorld Directions in Residency — and right here!

Answer the questions below to enter. Looking for the Fall 2024 answers? Review them now. To submit cases and questions, email Dean Monti at dmonti@aad.org.

Diagnose this new case by Samantha Bizimungu, MD

A 10-year-old boy with no medical history presented to the emergency department for a one-week history of fever, cough, and odynophagia. Upon evaluation, he was found to have bilateral purulent conjunctivitis, hemorrhagic crusting of the vermilion lips, discrete scattered vesicles on the dorsal hands, and significant dysuria requiring urinary catheterization. A chest radiograph showed bronchial wall thickening.

1. What is the most likely diagnosis, and what is the most likely causal agent?

2. What other conditions can be considered in the differential diagnosis of mucositis and rash in a child?

3. Name three systemic treatment options in adjunct to antibiotic therapy.

4. What is the typical clinical course and prognosis of this condition?

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