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Periorificial Dermatitis and Irritability in an Infant
Eleanor E. Sahn, MD;
Timothy G. Woodall, MD
Medical University of South Carolina, Charleston (Dr Sahn), and Greenville Memorial Hospital, Greenville, SC (Dr Woodall)
Arch Dermatol. 1999;135:1267-1272.
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REPORT OF A CASE
A 3 -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 (. . . [Full Text of this Article]
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