Nonpruritic bilateral malar rash in an 18-month-old child

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An 18-month-old boy was brought by his mother to the dermatology clinic for evaluation of a nonpruritic facial rash that would not resolve despite various topical home remedies. The eruption had been present for more than a month, and the boy's family physician had elected to refer him for dermatology consult rather than initiate therapy on his own. There was no tenderness or warmth associated with the rash, which was primarily localized to both cheeks.

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