{
  "abstract": "A 3-day-old male neonate presented with rapidly worsening purplish skin lesions. He was born via normal vaginal delivery, was well at birth and received vitamin K prophylaxis. On day 3, he exhibited irritability and a low-grade fever, as well as skin lesions. Examination revealed an inconsolable infant with a rectal temperature of 38.2°C. Multiple dark purple, non-raised, non-blanching skin lesions were noted: one on the right lower back measuring approximately 3×3 cm with irregular borders ( figure 1), another on the left knee surrounded by a lighter-coloured halo (online supplemental figure 1) and a third on the dorsal aspect of the left foot. The rest of the examination was unremarkable.",
  "authors": [
    {
      "affiliations": [
        "Pediatrics, ALSALAM Specialist Hospital, Manama, Bahrain"
      ],
      "name": "Mossaab Hassoun"
    },
    {
      "affiliations": [
        "Pediatrics, New Mazloum Hospital, Tripoli, Lebanon"
      ],
      "name": "Ayman Houjairy"
    }
  ],
  "title": "Rapidly evolving purpuric lesions in a neonate",
  "uid": "98ab53b2-4ddf-5abb-8001-706ffee4602c"
}
