Infant’s disseminated rash is twice misdiagnosed
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.