What was causing a scaly rash on this infant’s face? | Medical Mystery

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What was causing a scaly rash on this infant’s face? | Medical Mystery
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Daily News | What was causing a scaly rash on this infant’s face? | Medical Mystery

“His ringworm is spreading” an exasperated first-time mother told me as she cradled her 6-week-old son.

He’d developed a rash on his chin that was being treated with Lotrimin, an antifungal cream, but it had spread and become scaly. His mother worried that he might be allergic to the medication. Looking at the pattern and appearance of this spreading rash, I knew that, unfortunately, this was not one of the benign rashes, and I immediately ordered some lab tests and an EKG.

But mothers of infants who develop NLE have circulating antibodies that cross the placenta, and they can affect not just the skin, but also the blood cells, liver, brain, and the most serious complication, the electrical system of the heart.

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