RT Journal A1 Papa CA, Maroon MS, Clark CC T1 PIcture of the month JF Archives of Pediatrics & Adolescent Medicine JO Archives of Pediatrics & Adolescent Medicine YR 1999 FD February 1 VO 153 IS 2 SP 201 OP 202 DO UL http://dx.doi.org/ AB A HEALTHY, 9-year-old boy from rural Pennsylvania had a 2-month history of tender, well-demarcated, erythematous plaques studded with pustules on his neck, back, and chest (Figure 1). Prior to referral, he had not responded to multiple medications, including topical steroid creams, clotrimazole/betamethasone diproprionate and mometasone furoate, and oral antibiotics, erythromycin ethylsuccinate and cephalexin.