A Puzzling Newborn Scalp Rash

A 3-week-old newborn presents with large, annular scalp lesions. Explore the Differential Diagnosis for this puzzling pediatric skin condition.

Tinea capitis


A 3-week-old male newborn was brought to the pediatrician with three large scalp lesions, which had appeared in the first week of life. The lesions were annular with raised papular and pustular borders and flat, hyperkeratotic central areas. The baby’s mother, who was originally from Somalia, had similar skin lesions on her upper trunk. What is the diagnosis?

What is the most likely diagnosis?

Neonatal herpes simplex virus
Nevus sebaceous
Tinea capitis
Congenital syphilis
Dissecting folliculitis

Dermatology, Fungal Infection, Pediatrics, Tinea capitis, Trichophyton

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