<prompt> This 6-day-old infants mother had developed intensely pruritic lesions at 33 weeks of gestation. What is the diagnosis?Congenital syphilisEpidermolysis bullosa acquisitaNeonatal gonorrheaHerpes gestationis  <response>: Answer D. Herpes gestationisThe presence of multiple yellow plaques on erythematous bases sparing the orbital regions is consistent with a diagnosis of herpes gestationis, a rare autoimmune disorder of pregnancy that affects newborns in only 5 to 10 percent of cases. The more common dermatitis of pregnancy -- pruritic urticarial papules and plaques of pregnancy -- does not involve the face. This presentation would not be consistent with the other listed choices. 