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Circular to oval hypopigmented macules presenting with furfuraceous scaling.
The denomination Down syndrome was only proposed after many other denominations have been used: imbecility, mongoloid, mongoloid idiocy, furfuraceous cretinism, congenital acromicria, poorly done child, unfinished child, among others.
The clinical examination revealed exfoliative dermatitis with silver furfuraceous scales, petequial bleedings, hirsute hair, mucocutaneous ulcers and conjunctivitis.