A HEALTHY, 9-year-old boy from rural Pennsylvania had a 2-month history of tender, well-demarcated, erythematous plaques studded with pustules on his neck, back, and chest (Figure 1). Prior to referral, he had not responded to multiple medications, including topical steroid creams, clotrimazole/betamethasone diproprionate and mometasone furoate, and oral antibiotics, erythromycin ethylsuccinate and cephalexin.
Papa CA, Maroon MS, Clark CC. Picture of the Month. Arch Pediatr Adolesc Med. 1999;153(2):201-202. doi: