Diaper Rash in an Infant with Seizures

We evaluated a 50-day-old female infant with recurrent seizures for the past 1 week. The baby had been born to nonconsanguineous parents at term by an uncomplicated vaginal delivery. Family history was not contributory. On examination, her head circumference was 37 cm, −2.38 Z score for age and sex and central hypotonia. Sharply delineated erythematosus rashes were noted around the perineal region (Figure, A) . The rash had been presumed to be a diaper rash and she had been prescribed coconut oil application.

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