The Mysterious Case of the Infant with Red Cheeks

May 20, 2016
Jonathan A. Schneider, DO
Jonathan A. Schneider, DO

Lesions are warm to the touch; exam is unremarkable. Does mom have the answer? Do you?

Indurated annular lesions appeared on this 9-month-old boy's cheeks overnight. He was previously well. Have a virtual seat in the Acute Care Clinic where Dr Jon Schneider and his resident puzzle over the potential causes of these nontender patches. What do you suspect?  

References:

Epstein EH Jr, Oren ME.  Popsicle panniculitis. N Engl J Med. 1970;282:966-967.

Grassi S, Borroni RG, Brazzelli V. Panniculitis in children. Ital Dermatol Venerol. 2103;148:371-385.

Quesada-Cortes A, Campos-Munoz L, Diaz-Diaz R, Casado-Jimenez M. Cold panniculitis. Derm Clinics. 2008;26:485-489.

Rajkumar SV, Laude TA, Russo RM, Gururaj VJ. Popsicle panniculitis of the cheeks. A diagnostic entity caused by sucking on cold objects. Clin Pediatr (Phila). 1976;15:619-21.

Ter Poorten JC, Hebert AA, Ilkiw R. Cold panniculitis in a neonate. J Am Acad Dermatol. 1995;33:383-385.

Schwartz RA. Cold panniculitis. eMedicine Web site. Accessed May 20 and available at: http://www.emedicine.com/derm/topic781.htm.