This 6-day-old infant’s mother had developed intensely pruritic lesions at 33 weeks of gestation. What is the diagnosis?
Correct Answer: Herpes gestationis
Description: Answer D. Herpes gestationisThe presence of multiple yellow plaques on erythematous bases sparing the orbital regions is consistent with a diagnosis of herpes gestationis, a rare autoimmune disorder of pregnancy that affects newborns in only 5 to 10 percent of cases. The more common dermatitis of pregnancy -- pruritic urticarial papules and plaques of pregnancy -- does not involve the face. This presentation would not be consistent with the other listed choices.
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