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Case 2: What caused this itchy patch on a girl's arm?

Case 2: What caused this itchy patch on a girl's arm?

Case 2:

A 10-year-old girl with seasonal allergies has had this pruritic patch on her arm for a few days. She denies any exposure history.

Which of the following would you include in the differential?

A. Impetigo.
B. Eczema.
C. Herpes simplex.
D. Contact dermatitis.
E. Factitial dermatitis.

(Answer on next page.)

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