When a Rash Has a Pulse

A toddler develops an itchy, red plaque on his leg that pulsates with his heartbeat. What could cause this localized Quincke’s sign? Learn more.

Insect bite


A 21-month-old boy presented with a 1-day history of a pruritic rash on his left leg. On examination of the left lower leg, an edematous erythematous plaque was pulsating with alternating erythema and blanching in synchrony with his pulse. What is the most likely diagnosis?

What is the most likely diagnosis?

Insect bite
Atopic dermatitis
Erythema infectiosum
Pityriasis rosea
Tinea corporis

Erythematous Plaque, Insect bite, Pediatric Dermatology, Pruritus, Quincke’s sign

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