Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Periorificial Dermatitis and Irritability in an Infant—Quiz Case

Periorificial Dermatitis and Irritability in an Infant—Quiz Case Report of a case A 3½-month-old white boy presented with scaly, erythematous plaques on perioral and perianal skin and on the trunk and right thigh. The perioral eruption began 1 month before presentation and was treated with oral antibiotics and mupirocin ointment, without improvement. Two weeks later, a perianal eruption and diarrhea developed. Five days before presentation, an eruption developed on the thigh and trunk. The patient was born 5 weeks prematurely and weighed 2.5 kg at birth. He was totally breast-fed. At 3 months, he weighed 5.6 kg. He had been irritable and hard to console since birth, with no smiling and almost continuous crying while awake. Physical examination showed an erythematous, scaly, periorificial eruption with sharply demarcated borders that extended around the ears, eyes, and submental area (Figure 1). The perianal eruption consisted of moist, erythematous, scaly papules and plaques (Figure 2). There was a 2-cm, sharply demarcated, erythematous, scaly plaque on the right thigh. Nail folds, scalp hair, eyelashes, and eyebrows appeared normal. A potassium hydroxide examination was negative for fungal elements. A punch biopsy specimen of lesional skin is shown in Figure 3. View LargeDownload Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. What is your diagnosis? SECTION EDITOR: MICHAEL MING, MD http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Periorificial Dermatitis and Irritability in an Infant—Quiz Case

Archives of Dermatology , Volume 135 (10) – Oct 1, 1999

Periorificial Dermatitis and Irritability in an Infant—Quiz Case

Abstract

Report of a case A 3½-month-old white boy presented with scaly, erythematous plaques on perioral and perianal skin and on the trunk and right thigh. The perioral eruption began 1 month before presentation and was treated with oral antibiotics and mupirocin ointment, without improvement. Two weeks later, a perianal eruption and diarrhea developed. Five days before presentation, an eruption developed on the thigh and trunk. The patient was born 5 weeks prematurely and weighed 2.5 kg at...
Loading next page...
 
/lp/american-medical-association/periorificial-dermatitis-and-irritability-in-an-infant-quiz-case-XcK92UWmdq
Publisher
American Medical Association
Copyright
Copyright © 1999 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/jamadermatol.58606
Publisher site
See Article on Publisher Site

Abstract

Report of a case A 3½-month-old white boy presented with scaly, erythematous plaques on perioral and perianal skin and on the trunk and right thigh. The perioral eruption began 1 month before presentation and was treated with oral antibiotics and mupirocin ointment, without improvement. Two weeks later, a perianal eruption and diarrhea developed. Five days before presentation, an eruption developed on the thigh and trunk. The patient was born 5 weeks prematurely and weighed 2.5 kg at birth. He was totally breast-fed. At 3 months, he weighed 5.6 kg. He had been irritable and hard to console since birth, with no smiling and almost continuous crying while awake. Physical examination showed an erythematous, scaly, periorificial eruption with sharply demarcated borders that extended around the ears, eyes, and submental area (Figure 1). The perianal eruption consisted of moist, erythematous, scaly papules and plaques (Figure 2). There was a 2-cm, sharply demarcated, erythematous, scaly plaque on the right thigh. Nail folds, scalp hair, eyelashes, and eyebrows appeared normal. A potassium hydroxide examination was negative for fungal elements. A punch biopsy specimen of lesional skin is shown in Figure 3. View LargeDownload Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. What is your diagnosis? SECTION EDITOR: MICHAEL MING, MD

Journal

Archives of DermatologyAmerican Medical Association

Published: Oct 1, 1999

Keywords: perioral dermatitis,infant,irritable mood

There are no references for this article.