The Mysterious Case of the Infant with Red Cheeks

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?  


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: