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Pediatric Skin Diseases

Acute Hemorrhagic Edema of Infancy

The mother of an 11-month-old boy was concerned by a constellation of symptoms including mild fever and rhinorrhea of several day’s duration, lesions that resembled insect bites on one leg and acute swelling of one foot.  Early-stage Henoch-Schnlein purpura was suspected. What is your impression?The mother of an 11-month-old boy was concerned by a constellation of symptoms including mild fever and rhinorrhea of several day’s duration, lesions that resembled insect bites on one leg and acute swelling of one foot.  Early-stage Henoch-Schnlein purpura was suspected. What is your impression?

kikko-[i]- 8nb-n80j8i[koAn 11-month-old boy presented with mild fever and rhinorrhea of several day’s duration. The previous day the child’s mother noted what appeared to be insect bites on the patient's left leg. She became concerned when she noticed his left foot had become swollen. She took the child to a local emergency department where he was given a diagnosis of early-stage Henoch-Schnlein purpura. The mother was instructed to take the child to his regular pediatrician for further examination. - See more at: http://drupal.pediatricsconsultantlive.com/pediatric-skin-diseases/acute...

The mother of an 11-month-old boy was concerned by a constellation of symptoms including mild fever and rhinorrhea of several day’s duration, the appearnce of lesions that resembled insect bites on one leg, and acute swelling of one foot.  Early-stage Henoch-Schonlein purpura was suspected. What is your impression?

Pediatric Skin Diseases

A 2-month-old infant had right submandibular swelling with inflammation and induration up to the nape of neck. Ultrasonography showed multiple enlarged lymph nodes with soft tissue swelling. Blood cultures grew Gram-positive cocci, which were identified as group B streptococci. Late-onset GBS infection is acquired from colonized household contacts.

Test your skills in this 5-question quiz.QUESTION 1: A 16-year-old boy presented with an extremely pruritic rash on the elbows, at the wrists, and on the top of the hands. This is classic for granuloma annulare.  Courtesy of Ted Rosen, MD

This annular configuration is classic for granuloma annulare; very widespread lesions may signal diabetes mellitus.

A 6-month-old girl was brought to the ED with fever, cough, and irritability; she appeared well-hydrated. She was born prematurely and had a long, complicated stay in NICU, where she received CPR on 2 occasions. There was concern about lung "congestion." The ED physician made a diagnosis of pneumonia. Rib fractures were also noted, but there was no history of fractures at the time of discharge from the NICU.

Acrodermatitis enteropathica and Langerhans cell histocytosis are recalcitrant forms of diaper dermatitis( DD); other variants are: candidal DD, irritant or contact DD, Jacquet’s disease, and psoriasis.

Take this week's quiz and test your diagnostic and therapeutic skills.

The morphology and distribution of these lesions is characteristic of ectoparasite bites, which occur when a human carries a pet—usually a kitten or puppy—as if the animal were a human newborn baby.

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