Case 1: Intractable Rash in a 7-Month-Old Boy

September 2015 in “ Pediatrics in review ”

Priyanka Rao, Jennifer Stojan

erythematous rash corticosteroid creams antibiotics antifungals hair loss tar shampoo petroleum fragrance-free laundry detergent steroid creams antibiotic creams antifungal creams hair thinning coal tar shampoo Vaseline hypoallergenic detergent

TLDR The 7-month-old boy has a persistent rash that doesn't improve with typical skin treatments.

A 7-month-old boy presented with a persistent, non-pruritic, and non-painful erythematous rash that began periorally and spread to his trunk and extremities over three months. Despite various treatments, including corticosteroid creams, antibiotics, and antifungals, the rash did not resolve. The boy remained afebrile and experienced hair loss but had no history of other infections or rashes. He was growing and developing normally, was up-to-date on immunizations, and had recently started eating soft foods while continuing to breastfeed. His skin care routine included frequent baths and moisturizing with petroleum. The family also tried tar shampoo and fragrance-free laundry detergent.

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