This child was brought with a history of skin lesions which became pustular and gave rise to these ulcers with punched out edges. The child was in sepsis and passed away the next day. I am clueless as to what this could have been. Differentials on first impression by various doctors included varicella with secondary infection, and ulcers related to some kind of vasculitis among others. Please leave your comments as to what you think this could be. Thanks.