Michele Khurana, MD

An 8-year-old boy presented to the ED with a fever and a painful rash involving his mouth, eyes and genitals. Can you spot the rash?

A 6-month-old boy presented with a rash involving the scalp, groin and trunk. The rash started on his scalp around age 2 months, later progressing to involve his groin and trunk (Figures 1-3).

A 2-week-old baby girl presented with a rash in the diaper area. She was born prematurely at 32 weeks’ gestation and was hospitalized in the NICU.

A 3-year-old boy presented to the dermatology clinic with a rash on his right leg. The rash started 3 months earlier as a single lesion, then a second lesion developed a few weeks later.

An 8-year-old female presented to the ED with a painful eruption for 6 days’ duration. She had a history of moderate eczema that was flaring for the past few weeks and was being managed with topical steroids.

A 2-year-old girl with a history of maple syrup urine disease presented to the dermatology clinic with an ongoing diaper rash.

A 3-year old boy presented to the ED for evaluation of an itchy rash. One week before presentation, he had complained of ear pain and was prescribed amoxicillin by his pediatrician for otitis media. A week later, he developed rhinorrhea, cough and a pruritic rash. The rash started on his hands and feet, then spread to his trunk and extremities. Some lesions seemed to disappear within a few hours. His hands and feet became swollen, and he developed pain with ambulation, prompting the ED visit for evaluation.

A 1-year-old boy presents with a diffuse rash on the body for the past 3 days (Figures 1 and 2). The rash started on his hands, then progressed to include his face, trunk, buttocks, groin, legs and feet. He also developed low-grade fevers and increased fussiness. He has a history of atopic dermatitis that has been difficult to control with hydrocortisone 2.5% ointment. He attends a day care center three times a week.

A 6-year-old girl presents with a rash on the back of her left leg for the past month. The rash is very itchy.

A 4-year-old boy presents with a bumpy rash on the right side of his face for the past 5 months. The rash is neither pruritic nor painful. Before onset of the rash, he had a cavity treated. He is in day care with another child who was seen by a dermatologist for bumps on the skin that were treated with a cold liquid. Hydrocortisone 1% cream was tried for 2 weeks without clearance of the lesions.