ABSTRACT
A 6-month-old presents to the emergency department for coughing and congestion. The child is happy, smiling, playful, and in no distress, with mild URI symptoms but otherwise appears well. On full skin exam, red marks are found as shown. There is mild tenderness over the red marks but no pain or marks anywhere else on the body. When asked, the mom reports “blowing kisses” on the child's back. The resident is very concerned as these bruises do not blanch and are not fading.
