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JAMA Pediatrics Clinical Challenge | Pediatric Quality Measures

Red Scaly Eruption in an Otherwise Healthy 2-Month-Old Boy QUIZ

Shane M. Swink, MS1; Leslie Castelo-Soccio, MD, PhD2
[+] Author Affiliations
1Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania
2Section of Dermatology, Division of Pediatrics, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
JAMA Pediatr. 2016;170(7):705-706. doi:10.1001/jamapediatrics.2015.3746.
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A 2-month-old boy had a red scaly eruption on his scalp, face, chest, abdomen, back, axillae, arms, legs, perineum, and buttocks. What is your diagnosis?

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exanthema

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Figure 1.

A, Infant at presentation, with pink to brown round scaly patches and plaques widespread on the trunk including umbilicus and axillae. B, Pink and brown scaly patches on the abdomen within the inguinal crease.

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Figure 2.

Infant’s abdomen after 4 weeks of topical therapy, showing resolution of the scaly patches with remaining hypopigmentation.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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