Papulosquamous and inflammatory skin disorders Quiz: Ace Your Exams

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A 12-month-old boy is brought to the emergency department because of a painful vesicular rash on his face, elbows, and trunk for two days. His parent states the patient had a “flare-up of dryness and itching” in the same region for which high-potency topical corticosteroids were started five days ago. Family history is significant for asthma in his mother. Temperature is 38.05°C (100.5°F), pulse is 130/min, respirations are 20/min, and blood pressure is 110/70 mmHg. Physical examination shows an irritable child with erythematous, scaly, crusted lesions on the extensor surfaces of the elbows and on the trunk. Examination findings of the face are shown:

A close-up of a child's face covered in many red, blister-like spots and lesions around the mouth, nose, and cheeks, with a distressed expression.
Reproduced from Wikimedia Commons

The presentation of this patient is most likely a complication of which of the following?

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