Bowel-associated dermatosis-arthritis syndrome (BADAS) in a pediatric patient

INTRODUCTION Bowel-associated dermatosis-arthritis syndrome (BADAS) is a recurrent and episodic neutrophilic dermatosis characterized by erythematous macules, which quickly evolve into papules and vesiculopustules on the trunk and upper extremities. Originally only associated with bariatric surgery, BADAS is now reported secondary to gastrointestinal disease. Although typically seen in adults, we report a case of a 4-year-old patient with numerous scattered hemorrhagic vesicles and flu-like symptoms whose biopsy specimen revealed a neutrophilic infiltrate consistent with BADAS. To our knowledge, this is the youngest reported case of BADAS in English-language literature.