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A 13-year-old girl with a history of Crohn disease presented to the pediatric dermatology clinic for evaluation of a rash on her buttocks and back. The patient noticed the rash 1 day prior to presentation. The rash was asymptomatic with no pain or pruritus. Fourteen days prior to presentation, the patient was seen in the emergency department for a temperature greater than 102°F. Since that time, the patient reported low-grade fever and 1 week of headache for which she had been taking ibuprofen. She also reported fatigue. She denied any preceding upper respiratory tract symptoms.
Cotton CH, Castelo-Soccio L. Pink-Violaceous Patches on the Lower Back, Buttocks, and Thighs of a 13-Year-Old Girl. JAMA Pediatr. 2014;168(6):575–576. doi:10.1001/jamapediatrics.2013.3993