The patient is an 18-month-old girl brought to your urgent care center by her parents. They report that she has been scratching her abdomen. When they lifted her shirt, they found multiple hyperpigmented macules widespread across the front and back of her trunk. She also has 1 hour of wheezing.

View the photo taken, and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.


An 18-Month-Old with an Itchy Rash and Wheezing
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