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A previously healthy 4-year-old girl presented with excessive wrinkling of the skin of the face, neck, upper trunk and extremities. The girl had recurrent episodes of itchy, reddish, round erythematous plaques, which initially appeared over the face and slowly progressed to affect the extremities and the upper trunk. The lesions resolved spontaneously over the following week, leaving behind loose and wrinkled skin. Dermatological examination showed wrinkled skin of the face (figure 1A …
QT and FR contributed equally.
Contributors QT and FR wrote the manuscript in consultation with HW.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.