A preterm, low birth weight (1.45 kg) baby boy, delivered at 32 weeks, was admitted to the neonatal ICU with a low APGAR score assessment of Activity/muscle tone, Pulse/heart rate, Grimace, Appearance, and Respiration. Each criterion is graded from 0 to 2, and a final score is obtained by their sum (0-10). Our patient had a score of 3; poor feeding; failure to thrive; and a red, scaly skin eruption on the face and extremities. Physical examination showed erythematous, crusted lesions over the forehead, cheeks, neck, and arms. His mother had a history of two spontaneous abortions in the previous 2 years and was otherwise asymptomatic. (. 2019;17:76-78).
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