RT Journal
A1 Bock DE, Prabhakaran V, Filler G
T1 PIcture of the month—quiz case
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2009
FD August 1
VO 163
IS 8
SP 765
OP 765
DO 10.1001/archpediatrics.2009.126-a
UL http://dx.doi.org/10.1001/archpediatrics.2009.126-a
AB 
A 7-month-old boy had a 3-week history of nonbloody diarrhea and increasing irritability. The mother reported a perioral and anogenital erythematous rash that first appeared in the third month of life with variable severity but never resolved. In the 4 months prior to admission, various visits to family doctors and hospitals with multiple courses of oral antibiotic treatments and different ointments led only to brief improvements of the skin condition with subsequent relapses. A trial with corticosteroids for suspected psoriasis caused a severe deterioration. The perinatal history was noncontributory: the boy was born at term after an unremarkable pregnancy, was fully breastfed, and developed appropriately along the 75th percentile for height and weight.