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Pediatric Dermatology: A Quick Reference Guide
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Very Dark-Brown Linear Streak on the Index Finger of a 5-Year-Old. This Lesion Continued to Change and Was Eventually Biopsied, Revealing a Benign Nevus in the Nail Matrix Area.
Trichotillomania Involving the Vertex Scalp. Note the Well-Demarcated Area of Affected Scalp and Variation in Hair Length within the Affected Areas.
Two Tender Erythema Nodosum Nodules on the Shin with Less Pronounced Erythema.
Typical Gottron Papules (Erythematous to Violaceous Flat-Topped Papules) Overlying the Knuckles in This 3-Year-Old with Juvenile Dermatomyositis. Note Also the Presence of Dilated Nail Fold Capillaries (See Figure 118.8).
Tzanck Test in Herpes Simplex Virus Infection; Multinucleated Giant Cells are Present.
Unilateral Laterothoracic Exanthem. Erythematous Papules Coalescing into Plaques on the Trunk and Upper Extremities; Note a Predominance on the Right Side, Which Was the Initial Side of Involvement.
Unilateral Nevoid Telangiectasia. This Patient Had Telangiectatic Patches Involving the Dorsal Aspect of the Hand and Forearm, Without Any Identified Predisposing Conditions.
Urticaria. Erythematous Wheals with Multiple Shapes, Including Papules and Incomplete Rings.
Varicella. Typical Vesicles (“dewdrop on a Rose Petal”) are Present (Arrows).
Venous Malformation. Blue Compressible Nodules on the Plantar Surface of the Foot and Great Toe of a 6-Year-Old.
Verrucous Papules with Filiform (Stalklike) Appearance on the Medial Nares. Note the Smaller Smooth Papules on the Alar Rims, Which Also Were Warts.
Vesicles, as Seen Here in Varicella, are Filled with Serous or Clear Fluid.
Violaceous, Flat-Topped Papules are Observed in Lichen Planus.
Vitiligo Appears as Well-Defined Areas of Complete Loss of Pigmentation (Ie, Depigmentation).
Well-Defined Hyperpigmented Scaling Macules in Tinea Versicolor.
Well-Demarcated Erythematous Scaling Plaques with Follicular Prominence in a Young Child with Pityriasis Rubra Pilaris.
Vesicles and Erythematous Papules in a Linear Arrangement are Often Seen in Allergic Contact Dermatitis Caused by Plants.
Vitiligo. This Young Patient Had Depigmented Macules and Patches on Bilateral Knees, Elbows, and Hips.
Warty Papules in an Infant, Who Has the Second Stage of Incontinentia Pigmenti.
Well-Defined Hypopigmented Scaling Macules in Tinea Versicolor.
White, Flat-Topped Papules, Some in a Linear Arrangement, are Characteristic of Lichen Nitidus.
White, Lacy, or Reticulated Plaques Often are Observed on the Buccal Mucosa of Patients Who Have Lichen Planus.
White Plaques on the Lips of an Infant Who Has Thrush.
Wood Lamp Examination in Tinea Capitis Caused by Microsporum Canis. There is Green Fluorescence of Affected Hairs.
(A) Multiple Erythematous Papules and Plaques on the Face of a Boy with Chronic Cutaneous (Discoid) Lupus Erythematosus. Note the Cutaneous Atrophy of Several Lesions, Particularly on the Earlobe, a Characteristic Location for Lupus Lesions. (B) Erythematous Papules on the Cheek of the Same Patient with Discoid Lupus Erythematosus Shown in Figure 120.3a.
White Patches on the Tongue or Buccal Mucosa are Characteristic of Thrush.
Whorled and Linear Hyperpigmentation, Arranged Along the Blaschko Lines, are Observed in the Third Stage of Incontinentia Pigmenti.
Young Infant with Widespread Erythematous, Slightly Atrophic Patches and Plaques Secondary to Neonatal Lupus Erythematosus. Note the Prominent Involvement of the Periorbital Region, Forehead, and Scalp.
Abdomen of a Patient with Skin of Color Who Has Pityriasis Rosea. There are Tiny Follicular Papules and Oval Thin Plaques with Erythema that is More Subtle and Associated Central Hyperpigmentation in Several Lesions.
Acrodermatitis Enteropathica. Erythema, Scaling, and Crusting on the Hand.
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