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What Caused the Facial Rash in These Infants That Resists All Topical Therapies?

What Caused the Facial Rash in These Infants That Resists All Topical Therapies?

Case: A 9-month-old boy has had a pruritic facial rash (A and B) that has resisted topical therapy. A topical antifungal, topical antibiotics, and 1% hydrocortisone cream have all failed to clear the eruption. Another 9-month-old boy has had a similar rash (C), with no response to topical therapy. Both infants have the same condition and a family history of atopy.

What is this condition—and can you identify the cause?

Answer on next page.

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