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JAMA Clinical Challenge
May 23/30, 2017

Facial Rash, Fever, and Anemia in a Newborn

Author Affiliations
  • 1Department of Dermatology, Chitose City Hospital, Chitose, Japan
JAMA. 2017;317(20):2125-2126. doi:10.1001/jama.2017.3058

A 19-day-old Japanese male infant presented with a 12-day history of fevers and facial rash. He was born by spontaneous vaginal delivery at 36 weeks’ gestational age with a birthweight of 3048 g (6.7 lb) with Apgar scores of 9 and 10. There were no complications during the prenatal and perinatal periods. His mother had no history of ringworm infection, positive IgG antibodies against rubella virus and herpes zoster virus, and serology findings negative for human immunodeficiency virus, hepatitis B virus, and syphilis. His family history was unremarkable.