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A 6-year-old girl was seen for a persistent facial rash. The rash spontaneously erupted above her upper lip as a cluster of papules and pustules that spread to the nasolabial folds and bilateral lower eyelids over the course of 3 weeks. She was systemically well and presumed to have impetigo. However, she did not improve with oral cephalexin or clindamycin. When seen by us, the clinical characteristics of the rash led us …
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