The dermatologist's differential diagnosis was LABD, followed by bullous erythema multiforme.
The typical clinical presentation of LABD is of small vesicles or bullae, which are annular and may develop into a target shape.
The presentation of LABD can follow a viral illness or exposure to a drug.
1] One such case report described a 10-month-old white child with LABD with a similar presentation to our patient, but with no fever or mucosal signs.
In a similar case report, where an infant developed LABD but failed to respond to prednisone, mycophenolic acid was used with a good clinical outcome.
The relative risks of acute MI and of heart failure were reduced by 23% and 17%, respectively, in this analysis, which was based upon more than 13,000 patient-years of exposure to the LABD.
Those who were on monotherapy with tiotropium (Spiriva) had significantly lower rates of disease-related hospital admissions during 12 months of follow-up than those using salmeterol (Serevent), formoterol fumarate (Foradil), salmeterol / fluticasone propionate (Advair), or combination therapy with two or more LABDs, said Dr.