II. Epidemiology

  1. Uncommon condition with onset in first year of life
  2. Affects infants and young children

III. Findings

  1. Very pruritic Vesicles and Pustules on acral surfaces
  2. Distrubuted on palms, soles and the sides of the feet

IV. Differential Diagnosis

  1. Neonatal pustulosis
  2. Scabies
    1. Infantile Scabies often presents with similar lesions on the palms and soles

V. Management

  1. Exclude Scabies!
  2. Symptomatic treatment
  3. No specific treatments have been found effective and resolves spontaneously over time

VI. Course

  1. Recurrent episodes of skin outbreaks that become less severe over times
  2. Resolves without treatment in first 2 to 3 years of life

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