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August 2007

Petechial and Red-Brown Papular Lesions in a 2-Year-Old Girl—Quiz Case

Author Affiliations
 

MICHAEL E.MINGMD, MSCECARRIE ANN R.CUSACKMDSENAIT W.DYSONMDJACQUELINE M.JUNKINS-HOPKINSMDVINCENTLIUMDKARLA S.ROSENMANMD

Arch Dermatol. 2007;143(8):1067-1072. doi:10.1001/archderm.143.8.1067-c

A 2-year-old girl was referred to the dermatology clinic by her pediatrician because of unsuccessful treatment of presumed seborrheic dermatitis. She presented with a 4-month history of an erythematous, pruritic, “scaly” rash on her scalp and a red-brown nodule behind her right ear. Her medical history was remarkable only for urticaria pigmentosa, which was stabilized on a regimen of loratadine, and her family history was noteworthy for large cell lymphoma in her half-brother. A review of systems disclosed no other symptoms or abnormalities.

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