TY - JOUR AU - Hoey, Susannah AB - QuestionAn 11‐month‐old girl presented with an increasing number of papules on her posterior neck from the age of 6 weeks. These would occasionally bleed on catching. She was otherwise well and had regular exposure to other children at nursery. Physical examination of her posterior neck revealed a cluster of firm, rounded, pink papules of varied sizes, some of which had umbilicated surfaces (see Fig. 1). No other skin lesions were noted elsewhere. On further questioning it was noted her baby bibs with Velcro attachments were causing repeated irritation to the back of her neck and had to be changed to cotton bibs.1Fig.Cluster of rounded, pink papules of varied sizes on the posterior neck.What is the spot diagnosis? (Answer on page ••)AnswerA clinical diagnosis of Koebnerised molluscum contagiosum related to baby bib use was made. This was managed with hydrogen peroxide 1% cream twice daily for 14 days with excellent effect.The molluscum contagiosum virus is part of the Poxviridae family and frequently infects the paediatric population causing a self‐limiting dermatosis usually lasting 6–9 months.1 However, the ongoing trauma from our patient's baby bibs was causing Koebnerisation and hence a more prolonged disease.The Koebner phenomenon is a well‐known entity describing lesions of a TI - Cluster of papules on an infant's neck JF - Journal of Paediatrics and Child Health DO - 10.1111/jpc.15244 DA - 2022-12-05 UR - https://www.deepdyve.com/lp/wiley/cluster-of-papules-on-an-infant-s-neck-NVgsUCRb8F VL - Early View IS - DP - DeepDyve ER -