Itchy Red-Brown Spots on a Child

Abstract

A 5-year-old boy presented with red-brown spots diffusely spread over the body that were present since birth. There were no subjective symptoms, except for rare instances of flushing, itching, and urtication following hot baths and abrasive scrubs. Dermatologic examination revealed widespread brown polymorphic macules and papules of varying sizes on the forehead, neck, torso, and extremities. Physical examination was otherwise normal.WHAT'S YOUR DIAGNOSIS? a. cutaneous mastocytosis b. histiocytosis X c. LEOPARD syndrome d. neurofibromatosis e. xanthoma disseminatumEligible for 1 MOC SA Credit From the ABD This Photo Challenge in our print edition is eligible for 1 self-assessment credit for Maintenance of Certification from the American Board of Dermatology (ABD). After completing this activity, diplomates can visit the ABD website (http://www.abderm.org) to self-report the credits under the activity title "Cutis Photo Challenge." You may report the credit after each activity is completed or after accumulating multiple credits.