Guess the Rash. This boy is 12 years old with no past medical or significant family history. His rash has been getting worse since it first appeared two weeks ago. He also has some ear pain and on ear exam his canal is full of white material. As you could see, the rash is on his head/face and extends to his upper trunk. He is afebrile and non-toxic. It is unlikely this rash would be seen in North America.