A 5-year-old girl presented to the clinic with a 6-month history of dermatitis that started on her knees and elbows and spread to her face. The skin lesions have been worsening and have not responded to topical emollients and corticosteroids. The mother reported that the girl has low energy. Results from past medical examinations were unremarkable. Skin findings are as shown in Figure 1 and Figure 2.
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