title: Blistering distal dactylitis: a case series in children under nine months of age.
abstract: Blistering distal dactylitis (BDD) is a distinct clinical entity that is infrequently reported in the literature. Characteristically, blistering distal dactylitis is described as a localized infection involving the volar fat pad of the distal phalanx of the digits, and it usually presents as a fluid-filled blister. The usual causative organism is group A beta-hemolytic Streptococcus, but less commonly, Staphyloccous aureus and Staphyloccoccus epidermis are present. The normal age range is reported to be 2 to 16 years old, but there are case reports of this infection in adults. Only one case has been reported in the literature in a child younger than 24 months of age. In this report we describe three cases in children younger than 9 months old. These three cases indicate that BDD can and does occur in children younger than 2 years of age.
authors.affiliation: Department of Emergency Medicine, Medical College of Georgia, Augusta, Georgia, USA.
authors.forename: Matt
authors.initials: M
authors.lastname: Lyon
authors.forename: Marla C
authors.initials: MC
authors.lastname: Doehring
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001768:Blister; D002506:Cephalexin / Q000627:therapeutic use; D005260:Female; D005533:Foot Dermatoses / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D007223:Infant; D008297:Male; D014034:Toes
chemical_list: D000900:Anti-Bacterial Agents; D002506:Cephalexin