A 6-year-old boy presented with a swollen penis and lip within an hour after ingesting some peanuts.
Alexander K. C. Leung, MD
The mass protruding from the introitus of this 1-month-old girl was first noted at birth. She was born to a 26-year-old primigravida at term after an uncomplicated pregnancy and normal spontaneous delivery.
A 4-year-old boy was brought for evaluation of a tiny cystic mass on the penis. The lesion was first noted a year earlier when the foreskin became retractable.
The mother of this 11-month-old girl was concerned that her infant’s vagina was almost obscured by a membrane. This was noted incidentally a few days earlier.
A 7-year-old boy was brought for evaluation of a rash on the chin that had appeared 2 weeks earlier. It was slightly itchy. The mother had applied a topical corticosteroid for a few days but then stopped because of worsening of the lesion.
Premature Adrenarche: A 7-year-old girl had growth of pubic hair for the past 6
months. The hair was initially limited to the labia majora
and then extended gradually into the pubic area. Isolated Scrotal Hair of Infancy: Infant was born at term to a 32-year-old gravida 2 para 3 after a normal vaginal delivery. Scrotal hair developed
at age 1 month.
A discussion of three types of Genital Lesions: Sebaceous Gland Hyperplasia of the Penis, Varicocele, and Penile Dog Bite.
A discussion of three types of Genital Lesions: Concealed Penis, Balanoposthitis, and Scrotal Abscess.
17-Year-old girl with a 7-month history of small, red papules on her arms and thighs. Rash is not painful or itchy. Otherwise in good health.
Although at present there is no cure for type 1 diabetes mellitus, good treatments are available that can enable affected children to lead healthy, active lives. Insulin regimens should be designed to optimize metabolic control while minimizing the risk of adverse events, such as hypoglycemic episodes, which can be more serious in children. Regimens of 3 in- jections per day work well for children who cannot receive an injection at lunchtime, while multiple daily injection (MDI) regimens provide more flexibility. Continuous subcutaneous insulin infusion (CSII) can provide better quality of life than MDI regimens, but CSII requires a high level of motivation and carries its own risks. In all children, insulin regimens must be adjusted to accommodate the physiological changes of growth and development. Long-term follow-up is important to monitor for complications of diabetes.