An 11-year-old boy with 4-month history of acnelike rash on his face and both upper arms. Rash is associated with redness and itching. Application of adapalene(Drug information on adapalene) gel resulted in no change.
Patient has history of chronic otitis media. He is otherwise healthy.
Erythema and follicular papules noted in maxillary and preauricular areas bilaterally. Erythema and hyperkeratotic follicular papules noted on both upper arms. Both external ears and pinnae are erythematous.
No evidence of alopecia, eyebrow thinning, follicular atrophy, or scarring.
WHAT'S YOUR DIAGNOSIS?
(answer on next page)