A two-year-old boy presented at our dermatology department with a two-month history of an asymptomatic bluish plaque in the infraorbital region. He had a previous history of keratosis pilaris on his face, arms, and legs and was hospitalized for bronchiolitis at 1 month of age.Dermatological examination revealed a firm nodule with 1 cm in diameter and bluish-violaceous coloration (Figure 1). The lesion was painless to palpation and had a normal body temperature. The child was otherwise healthy and had no other symptoms.An emollient and tacrolimus 0.1% ointment were prescribed and applied once a day for one month with no improvement. The nodule maintained its consistency and color, reaching a maximum size of one and a half centimeters. Two months later, he had a respiratory infection and was treated with oral azithromycin 10 mg/kg daily for 3 days. There was an improvement in the initial nodule, with progressive flattening and a decrease in size to 1 cm 2 weeks later. Oral azithromycin 10 mg/kg 3 days per week was pre-