A 6-day-old infant with a history of facial lesions

A 6-day-old infant with a 48-hour history of facial lesions

Question

A 6-day-old infant with a 48-hour history of facial lesions had been born at 37 weeks of gestation after a spontaneous vaginal delivery without complications. According to her mother, the newborn was thriving and had had no behavioral changes coincident with the onset of the rash.

This 6-day-old infant’s mother had developed intensely pruritic lesions at 33 weeks of gestation. What is the diagnosis?

Congenital syphilis
Epidermolysis bullosa acquisita
Neonatal gonorrhea
Herpes gestationis
Pruritic plaques of pregnancy

 

 

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