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A woman brings her 7-year-old son to the urgent care center with a rash that had developed “over the past few weeks.” On examination, there are smooth, pink papules around the mouth. The mother reports that the patient has a history of asthma, for which he uses inhalation budesonide daily as maintenance therapy. Otherwise he is healthy, has no systemic symptoms, and is well-appearing.

View the photo taken and consider what your diagnosis and next steps would be.

boy with new facial rash
Figure 1.
A 7-Year-Old Boy with New Facial Rash