CASE #1
A baby aged 11 months presented with hypopigmented macules on his cheeks. The lesions did not glow white on exposure to a Wood’s lamp. The baby had a family history of atopy, but he did not appear to have atopic dermatitis. There was a bit of erythema in some of the macules, but the macules did not seem to grossly itch, burn, or hurt, according to the boy’s mother. There was no evidence of cradle cap, tinea capitis, or swollen lymph nodes. The baby was of normal weight and height and had reached all appropriate developmental milestones.
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CASE #2
A child aged 12 months presented with a hypopigmented lesion on his back that had been present since birth. The boy had been born in the United States, and there was no known exposure to leprosy. There was no history of atopic dermatitis, seborrheic dermatitis, tinea capitis, or cradle cap. The lesion did not itch, burn, or hurt. While the child could not report symptoms, there appeared to be no sensory impairment at the site of the lesion. Examination with a Wood’s lamp revealed a hypopigmented rather than a depigmented process.
What is the diagnosis?
For CASE #1, click “NEXT.” For CASE #2, click “3.”
