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    Infant’s disseminated rash is twice misdiagnosed

    THE CASE

    A frustrated mother carries her 2-month-old son into the office for evaluation of a diffuse, bright red rash with dramatic hypopigmentation. Scalp, neck, axillary, and diaper areas are involved. The baby is not itchy and rests comfortably on the examination table. He was seen at an urgent care center 1 month ago where he was diagnosed with candidiasis and started on nystatin, which hasn’t helped. He was subsequently seen in the emergency department (ED) where he was started on hydrocortisone for eczema. 

    NEXT: What's the diagnosis?

    Somya Abubucker, BA, MS4
    Ms Abubucker is a fourth-year medical student at Johns Hopkins University School of Medicine, Baltimore, Maryland.

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