Could this baby’s rash be more than skin deep?

Sammi is a six-week old brought in for her routine immunisations. You note a facial rash which her parents say was present at birth and has not changed.

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<p>Sammi is a six-week old brought in for her routine immunisations.</p><p>Sammi is breastfed and thriving, following an uncomplicated pregnancy and vaginal delivery.</p><p>There is no significant family history. You note a facial rash (pictured).</p><p>Examination is otherwise unremarkable. Her parents report that the rash was present at birth and has not changed. She is not bothered by it.</p><p>Sammi was reviewed by a paediatrician at hospital discharge, who suspected eczema and recommended general skin care measures.</p>

Dr Kate Kelso is a GP and medical editor at Australian Doctor.