Abstract
A 4-month-old previously healthy full-term, exclusively breastfed male infant presented with a rash on the face, arms, and diaper area for 4 weeks. The patient was previously treated by his pediatrician with nystatin cream, ketoconazole cream, hydrocortisone 2.5% ointment, and oral clindamycin without significant improvement. The family history was unremarkable. There were well-demarcated erythematous crusted plaques with focal erosions of the perioral, genital, and acral skin and scattered scaly erythematous plaques on the extremities (Fig 1, A-C).
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