A 1-day-old male infant in the neonatal intensive care unit was evaluated for a diffuse rash present at delivery. The patient was born at full term via spontaneous vaginal delivery after an uncomplicated pregnancy with APGAR scores of 8 and 9 at 1 and 5 minutes, respectively. His mother was varicella nonimmune and had no active rashes including in the perineal area. Physical examination of the patient revealed widespread papulovesicular, crusted lesions on the arms, legs, face, scalp, and trunk (Figure 1). The palms, soles, and oral mucosa were spared. The patient was afebrile.
James SM, Gagnon AL, Blechman AB. Newborn With a Diffuse Rash. JAMA Pediatr. 2016;170(9):903-904. doi:10.1001/jamapediatrics.2015.4602