spoiler: nbme 18 - elevatedest

[ArchivalUser]

Hey guys, one of the questions of NBME 18 section 1 was as follows: child with large flaccid bullae over trunk and abdomen, fever (102), bp110/60. People in diffeent forums are suggesting that it's toxic shock syndrome. However, this child doesn't have shock; desquamation is the more common dermatological manifestation rather than bullae; no end-organ problems or vomiting; toxic shock syndrome doesn't classically occur in children, but in women using tempons. So I am wondering if it's choice a: eosinophilia (i.e. atopic dermatitis). What do you guys think?

[ArchivalUser]

on the other hand, there are strong points against atopic dermatitis, such as: no mention of pruritus (a must in atopic dermatitis), no mention of recurrency, no family history mentioned, fever/bullae is not a classic presentation

[ArchivalUser]

this question has been resolved. someone else correctly chose toxic shock syndrome