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- W2795778830 abstract "1. Preston Dean, MD*2. Sheela R. Geraghty, MD, MS†3. Francis J. Real, MD† 1. *Residency Training Program and2. †Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OHA former 32-week-gestation, now 8-week-old girl presents to her primary care clinic with a diffuse rash. The rash started at 4 weeks of age as a single lesion on her right thigh. The rash subsequently spread throughout her lower extremities. The mother brought the patient to the clinic at 6 weeks of age for the rash, which had crusted over. The patient was diagnosed as having bullous impetigo and was prescribed oral cephalexin and topical mupirocin. A wound culture from that visit grew normal skin flora. Her rash continued to worsen. The patient presents today for her 2-month well-child check with persistent rash.On physical examination, the patient’s vital signs are within normal limits. Her rash is most prominent on the trunk and lower extremities. The rash appears as scattered, well-defined erythematous papules and pustules with overlying scale and several erythematous nodules. It involves the palms and soles and spares the diaper region (Fig 1). Other than the rash, she is doing well, with no fevers, fussiness, lethargy, or abnormal movements. She is growing appropriately and meeting her developmental milestones. Her mother denies anyone else at home with a rash. Of note, her mother’s prenatal infectious laboratory test results were negative, including syphilis.Figure 1. A. Erythematous …" @default.
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- W2795778830 date "2018-04-01" @default.
- W2795778830 modified "2023-10-14" @default.
- W2795778830 title "Case 4: Diffuse Rash in a 2-month-old Girl" @default.
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- W2795778830 doi "https://doi.org/10.1542/pir.2017-0046" @default.
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