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February 2010

Infantile Erythroderma—Quiz Case

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Arch Dermatol. 2010;146(2):191-196. doi:10.1001/archdermatol.2009.365-a

A 16-week-old white boy presented with generalized refractory dermatitis that began 8 weeks earlier as scattered facial papules that gradually coalesced to eczematous plaques. His face, scalp, and antecubital fossae were involved, and a diagnosis of atopic dermatitis with seborrhea was proposed (Figure 1). The eruption initially improved with emollients and a change in formula; however, 2 weeks later, the patient presented with diffuse erythroderma and alopecia coinciding with acute otitis media. There was no notable medical history other than recurrent episodes of otitis media.

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