Urticaria and edema in a 2-year-old boy
The Journal of Family Practice. 2021 September;70(7):353-355 | 10.12788/jfp.0264
September 14, 2021|The Journal of Family Practice
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The absence of blisters, the presence of mild systemic symptoms, and the patient’s age guided the diagnosis.
Our patient’s amoxicillin was discontinued, and he was started on a 14-day course of cetirizine 5 mg bid and hydroxyzine 10 mg at bedtime. He was also started on triamcinolone 0.1% cream to be applied twice daily for 1 week. During his 3-day hospital stay, his fever resolved and his rash and edema improved.
During an outpatient follow-up visit with a pediatric dermatologist 2 weeks after discharge, the patient’s rash was still present and dermatographism was noted. In light of this, his parents were instructed to continue giving the cetirizine and hydroxyzine once daily for an additional 2 weeks and to return as needed.
