Rebecca Ronsley1, Francine Ling1, Wingfield Rehmus2, Amie Dmytryshyn3. 1. Resident in the Department of Pediatrics at the University of British Columbia in Vancouver at the time of the case. 2. Clinical Associate Professor in the Department of Pediatrics and the Department of Dermatology and Skin Science at the University of British Columbia. 3. Clinical Instructor in the Department of Pediatrics at the University of British Columbia. admytryshyn@cw.bc.ca.