This distribution of an inflammatory disorder in a very young child almost always indicates atopic dermatitis. The family history of asthma suggests the atopic diathesis.
Abnormal pigmentation, nail dystrophy, and leukoplakia may signal dyskeratosis congenita.
An 18-year-old Hispanic girl with no significant medical history presented with asymptomatic white spots on her lower back of several month’s duration. Empirical treatment with a topical antifungal agent for presumptive tinea versicolor had failed to improve the condition.
A 6-year-old boy presented with a swollen penis and lip within an hour after ingesting some peanuts.
A 4-year-old boy who is new to your practice presents for a well-child visit. His parents report that he has had brownish patches on his torso and back since early infancy. The lesions have decreased in size and number as he has aged. The rash is intermittently pruritic, especially when anyone touches the individual lesions.
A 4-year-old boy was referred for evaluation of refractory eczema that first appeared at 1 month of age.
This 16-year-old boy had slowly progressive hypopigmented lesions on
the lower extremities for the past 4 years. He also had atopic dermatitis,
asthma, and allergic rhinitis.
A 9-month-old boy has had a pruritic facial rash that has resisted topical therapy. Another
9-month-old boy has had a similar rash, with no response to topical therapy. Both infants have the same condition and a family history of atopy.
For 3 days, a 10-year-old boy had an itchy, tense, vesicular rash on the fingers of both hands (A). He was otherwise healthy.
A 7-month-old boy with a history of severe atopic dermatitis and asthma was brought for evaluation of a generalized rash, fever, and irritability of 2 days’ duration. He had no respiratory symptoms. His medical history was significant for anorexia, without vomiting or diarrhea. He had a strong family history of allergy.