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JAMA Pediatrics Clinical Challenge
January 2015

A 24-Day-Old Neonate With Annular Plaques on the Scalp

Author Affiliations
  • 1University of Pennsylvania School of Medicine, Philadelphia
  • 2Division of Pediatrics, Section of Dermatology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
JAMA Pediatr. 2015;169(1):93-94. doi:10.1001/jamapediatrics.2014.1848

A 24-day-old African American boy born at full term via an uncomplicated spontaneous vaginal delivery presented with a 7-day history of annular plaques on the upper forehead and scalp (Figure). The plaques emerged on day 17 of life and did not change in appearance or increase in number. He had normal growth and development and no illnesses or fevers prior to presentation. He had no contact with sick persons or with household members with similar skin lesions, and there was no history of recent sun exposure. There was no family history of autoimmune disease, and the mother denied symptoms of dry eyes, dry mouth, cavities, or photosensitivity.

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