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Pediatric Dermatology: A Quick Reference Guide
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Flaccid Bullae that Rupture Easily Leaving Round, Crusted Erosions Occur in Bullous Impetigo.
Fleabites. Note the “breakfast, Lunch, and Dinner” Sign.
Follicular Papules and Pustules on the Scalp and Face of an Infant with Eosinophilic Pustular Folliculitis.
Folliculitis with Erythematous Papules and Papulopustular Eruption of the Buttocks.
Furuncles. These Nodular Lesions May Drain from the Central Portion.
Gottron Papules Overlying Knuckles in a Child with Juvenile Dermatomyositis.
Granulomatous Periorificial Dermatitis. Flesh-Colored to Pink, Translucent Papules in the Perioral and Perinasal Locations, with Some Lower Periorbital Involvement, in a Child.
Greasy Scale on the Scalp of an Infant (Ie, Cradle Cap).
Grouped Vesicles and Ulcers Affecting the Perioral Skin are Observed in Herpes Simplex Virus Gingivostomatitis. Note that the Periphery of Grouped Vesicles May Form a Scalloped Appearance.
Generalized Morphea. Multiple Lesions Involving the Trunk Have Become Hyperpigmented, and Many are Atrophic.
Granuloma Annulare: an Annular Erythematous Plaque in a Patient with Skin of Color. (There is a Small Crust at Approximately 1:30, the Result of Mild Trauma Unrelated to Granuloma Annulare.)
Greasy, Scaly Plaques (Mimicking Seborrheic Dermatitis) Admixed with Hemorrhagic and Crusted Papules on the Scalp of a 10-Month-Old with Multisystem Langerhans Cell Histiocytosis.
Grouped Vesicles in Herpes Simplex Virus Infection with Central Heme Crust and Mild Underlying Violaceous Color Changes in a Patient with Skin of Color.
Hairless, Atrophic Streaks on the Leg of the Affected Mother of an Infant with Incontinentia Pigmenti.
Hand, Foot, and Mouth Disease. Oval Vesicles with Mild Surrounding Erythema.
Head Lice. Note Numerous Nits Attached to Hair Shafts.
Hemangioma Precursor. This Hemangioma on the Medial Part of the Buttock Presented as a Vascular Patch with Focal Ulceration Before Proliferation and Thickening.
Grouped Papules, Vesicles, and Erosions on the Knees and Legs of a Patient with Skin of Color with Dermatitis Herpetiformis. Reproduced with Permission from Antiga E, Et Al. Dermatitis Herpetiformis: Novel Perspectives. Front Immunol. 2019;10.
Grouped Vesicles are Characteristic of Herpes Simplex Virus Infection on the Skin.
Guttate Psoriasis is Characterized by an Eruption Composed of Widespread Macules or Papules that May Mimic a Viral Exanthem. Over Time, the Lesions Develop Thick Scale.
Herpes Zoster in a Patient with Skin of Color. Grouped Vesicles and Surrounding Skin Have a Violaceous Color. Reproduced with Permission from Shutterstock.
Hyperpigmented Macules, Some with a Rim of Scale, are Seen in Transient Neonatal Pustular Melanosis.
Hypopigmented Macules on the Chest of a Child Who Has Tuberous Sclerosis Complex.
Id Reaction. These Itchy Papules Occurred on the Extensor Aspects of the Arms and Legs in a Patient with Allergic Contact Dermatitis to Nickel.
Infantile Hemangioma with Ledge Effect in a 3-Month-Old. Note the Abrupt Transition from Typical to Affected Skin (Ie, Steep Borders). Although the Distribution of This Lesion (Upper Back) Does Not Raise Concern for a Medical Complication, its Size and Steep Borders Might Justify Systemic Therapy, Given the Risk of Permanent Deformity.
In Ichthyosis Vulgaris, Fine Scales with a “pasted on” Appearance are Observed on the Distal Extremities.
In Kawasaki Disease, Non-Exudative Conjunctival Injection is Present, Often with Perilimbic Sparing.
Halo Nevus is a Melanocytic Nevus that Develops a Surrounding Rim of Hypopigmentation or Depigmentation. They are More Common in Children with Vitiligo.
Head Lice. Low-Power Microscopy Reveals a Hatched Nit. Note the Cement-Like Substance Adhering the Nit to the Hair Shaft. The Flat Surface (Reflecting Loss of the Cap, or Operculum) and Absence of a Developing Louse within the e.g.confirms the Hatched Nature of This Nit.
Heliotrope Rash and Telangiectatic Erythema of the Cheeks in a School-Aged Child with Juvenile Dermatomyositis.
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