A mother brings her 2-month-old son to his pediatrician for evaluation of a rash on his scalp

A mother brings her 2-month-old son to his pediatrician for evaluation of a rash on his scalp. She notes it began shortly after his 1-month well-child visit and has been gradually worsening. He is otherwise healthy. The rash is composed of well-defined plaques and greasy, yellow scales (Figure A). What is the most appropriate treatment for this condition?

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  1. Observation
  2. Staged surgical excision
  3. Griseofulvin
  4. Mineral oil and daily scalp washes
  5. Antibiotics