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Image Number 1525 (Blueberry muffin baby)

 
Morphology:
Purpura

Diagnosis: Blueberry muffin baby

Site: Face

Sex: M

Age: 1

Type:

Description: Disc-like purpuric lesions.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: Blueberry muffin baby is characterized by generalized dark blue to magenta, nonblanchable, indurated, round to oval, hemispheric purpuric papules ranging from 1 to 7 mm. Lesions favor the head, neck, and trunk. Etiologic factors include congenital infections (rubella, cytomegalovirus, and parvovirus B19), hemolytic disease of the newborn (Rh incompatibility, blood group incompatibility), hereditary spherocytosis, neuroblastoma, rhabdomyosarcoma, Langerhans cell histiocytosis, and congenital leukemia.

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