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January 1994

Annular Scaly Plaques in an Infant

Author Affiliations

Wayne State University School of Medicine, Detroit, Mich

Arch Dermatol. 1994;130(1):107-108. doi:10.1001/archderm.1994.01690010111019

REPORT OF A CASE  A 3-month-old girl presented with a 10-week history of multiple enlarging plaques on the face and extremities. She was the product of a full-term pregnancy to a healthy 19-year-old primigravida. The day before delivery, the mother's membranes ruptured, and a fever developed over the next 24 hours. A cesarean section was performed due to an increase in fetal heart rate. After delivery, antibiotics were administered to the baby, who had no further complications. The mother continued to have a fever and high blood pressure. Both infant and mother remained in the hospital for 23 days. Approximately 1 week after discharge, an annular lesion appeared on the infant's cheek that became progressively enlarged. Similar lesions appeared on the extremities.Cutaneous examination revealed annular erythematous scaly plaques, some with central clearing, ranging from 2 to 4 cm on the face, arms, and legs (Figure 1). Routine laboratory studies

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