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A 20-day-old, otherwise healthy female presented with a 2-week history of small perianal ulcers.
These lesions appeared on the fourth day of life as some discrete ulcers overlying an area of macular erythema on the right buttock. The ulcers enlarged slowly, despite two courses of topical antibiotics for impetigo. She was the product of a full-term pregnancy. Birth weight was 3870 g.
Physical examination showed multiple perianal ulcerations coalescing …
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