A 16-month-old girl is brought to the emergency department by her mother because of 10 days of dry cough and facial swelling. Her hands and feet recently began to swell as well; the extremities show a pink discoloration to the hands and feet and 2+ bilateral pitting edema to the ankles. When asked about any potential toxic exposures, the mother mentions that she has recently started using a skin cream she purchased in Mexico -- where the family just visited 2 weeks ago -- for lightening freckles and that she has used it occasionally on a birthmark on the child's chest. The father also smokes but otherwise, the patient history is unremarkable. What is the most likely Rx? You can wait for the correct answer tomorrow or tap the link to read the full case and diagnosis. A. Coccidiomycosis B. Berger disease C. Mercury poisoning D. Kawasaki disease
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