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

Abstract

A 10-year-old girl presented with a new onset bilateral suborbital rash. Dermatologic examination revealed violaceous, nontender, 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. © 2014 by the article author(s).