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Dermatology Online Journal

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Bilateral suborbital rash: A dermatologic manifestation of neuropsychiatric disease in a pediatric patient


A 10-year-old girl presented with a new onset bilateral suborbital rash. Dermatologic examination revealed violaceous, non-tender, well-demarcated patches with an atypical distribution and pigmentation. After further investigation, a diagnosis of Munchausen syndrome was made and the patient was referred to her primary care provider for further management.

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