No abstract

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.

Case report A female baby with a birth weight of 3250g was delivered by caesarean section at 39 weeks of gestation to a healthy 24 year old mother. At birth, the baby had multiple dark coloured papules of varying sizes all over the body and a few showed central necrosis. It was a non-consanguineous marriage, and there were no similar complaints or unexplained deaths in the family. On examination, baby was active with normal vital signs. Head to toe examination was normal except for papulo-nodular skin lesions, a few with central necrosis, scattered over face, extremities, buttocks and trunk (Figure 1). No mucosal lesions were present. The systemic examination was normal without hepatosplenomegaly or lymph node enlargement. Baby was empirically started on