Toddler with blistering acrodermal rash

The anxious parents of a previously healthy 19-month-old boy bring the child to the emergency department for evaluation of progressive rash that began 4 months ago. The skin eruption began as small blisters on his knees, which became tense and ruptured, eventually evolving to red-pink scaly plaques. What's the diagnosis?

SUBSTANCE ABUSE

Can we prediagnose opiate addiction?

We have a serious public health problem called "opiate addiction." It affects all age groups, and in the last 2 decides it has spread across the country. How can we stop this new trend?

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