Case For Diagnosis. Presented by Dr. Chester M. Sidell and Dr. J. Gordon Erickson.
The parents of this 9-month-old baby girl first noticed erythema of the cheeks, sharply demarcated, soon after the baby was switched from breast milk to homogenized milk at the age of 2 to 3 months. After this there was gradual spread of the eruption to involve the knees, extensors of the forearm, and the wrist. The baby was placed on a restricted diet by her pediatrician, including soy bean milk, beef, banana, etc. without any benefit.
After the use of cortisone locally increased pigmentation at the borders of the lesions of the cheeks was noted. All lesions appear to be nonpruritic. The mother has noticed definite aggravation after short periods of exposure to sun.
There is a family history of hay fever. Grandmother had diabetes.
Pediatrician's examination revealed a normal,
Murphy EL, Underwood LJ, Wolk E. METROPOLITAN DERMATOLOGICAL SOCIETY OF LOS ANGELES. AMA Arch Derm. 1957;76(6):804–805. doi:10.1001/archderm.1957.01550240122031
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