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This week’s case-based question:
A 1-day-old female neonate is found to have a rash above her left eye on examination. She was born at 40 weeks via spontaneous vaginal delivery requiring vacuum assistance. The neonate required blow-by oxygen upon delivery and had a delayed bath.
The neonate has been bottle-feeding well and has had 2 wet diapers and 1 meconium stool. Her vital signs have been normal since the delivery.
On examination, she is sleeping comfortably. She has dull pink macules 0.5 cm in size on her glabella, eyelids, and upper lip. She also has a left-sided cephalohematoma. There is no conjunctivitis or eyelid edema, and her extraocular movements are intact. She has no jaundice. Her lungs are clear; she has no murmur and no organomegaly. The rest of the examination is normal.
The Figure demonstrates the appearance of the dermatologic lesions.
What is the probable course of the facial lesions?
fading almost completely within 3 weeks
fading almost completely within 3 years
enlarging rapidly during the first year, then spontaneously involuting within 3 years
deepening and enlarging within 3 years, requiring laser therapy for complete resolution
no change in size or color over time
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