JuneBridals toddler wears for flower girl

Unexplained Rash!!!!!!!!!

A 14 month old toddler is brought to your out-patient clinic by her concerned mother regarding a rash that appeared recently in her ano-genital region. The rash has appeared 3 weeks ago and is persistent. Mother says she tried to use local Zinc Oxide cream but it did not help. There is no history of fever. No vaginal discharge. She is otherwise healthy and reaching all her milestones appropriately. On examination, she is afebrile. There are several JuneBridals toddler wears for flower girl ... papules seen in the ano-genital area as shown below.

Which of the following is the most appropriate next step?

A) Screen for Child Sexual Abuse
B.) Local steroid application
C) Reassure that the rash will resolve in few months
D) Continue Zinc Oxide cream
E) Local antibiotic application

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