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Pediatric Dermatology: A Quick Reference Guide
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Target Lesions May Develop Central Bullae or Vesicles.
Teenage Patient with Systemic Lupus Erythematosus and Facial Lesions of Discoid Lupus Erythematosus with Erythema, Atrophy, and Hyperpigmentation.
The Diagnosis of Tinea Capitis May be Confirmed by Performing a Fungal Culture. Uninoculated Medium is Yellow (Left). Within 2 Weeks of Inoculation with Scale or Black Dot Hairs Scraped from the Scalp, There is Fungal Growth and the Medium Turns Red (Right).
Target Lesion in a Patient Who Has Stevens-Johnson Syndrome.
Target Lesions on the Face with Central Vesicles. This Child Had a Preceding Herpes Simplex Virus Infection, as Noted by the Crusted Papule on the Left Side of the Upper Lip.
Tense Vesicles or Pustules on the Foot in Infantile Acropustulosis.
The Eruption of Confluent and Reticulated Papillomatosis is Confluent Centrally and Reticulated Peripherally.
The First Stage of Erythema Infectiosum in a Child with Skin of Color. There are Erythematous Patches on the Cheeks. From Redbook Visual Library. Courtesy of H. Cody Meissner, Md, Faap.
The First Stage of Erythema Infectiosum Exhibits Erythematous Cheeks (Ie, a Slapped Cheek Appearance).
The Herald Patch is a Round or Oval Erythematous Patch that May be Mistaken for Tinea Corporis.
The Lesions of Herpes Zoster Appear in a Dermatomal Distribution.
The Patient Shown in Figure 121.2 10 Days after Beginning Zinc Supplementation. The Perioral Eruption Has Improved Greatly.
The Second Stage of Erythema Infectiosum Produces an Erythematous Lacy, Reticulated Exanthem on the Extremities.
The Lesions of Folliculitis are Erythematous Papules and Pustules Centered around Follicles.
The Papules of Gianotti-Crosti Syndrome Often are Located Symmetrically on the Extensor Surfaces of the Lower Extremities. This Young Child Also Had Lesions on the Face and Extensor Surfaces of the Upper Extremities.
The Rash of Scarlet Fever is Composed of Tiny Papules, as Seen in This Young Child. Note the Subtle Background Erythema.
The “teeter-Totter” Sign in Pilomatricoma. Depressing the Inferior Margin of the Lesion Causes the Upper Margin to Elevate.
The “tent” Sign in Pilomatricoma. Compressing the Skin Overlying the Lesion Reveals its Multifaceted Shape.
This 5-Year-Old Had Extensive Morphea of the Lower Extremity, Resulting in Circumferential and Linear Size Discrepancy with the Unaffected Side.
This Adolescent Had Scattered Adherent Scales Throughout the Scalp that Improved with Antiseborrheic Shampoo and a Mid-Potency Topical Steroid Solution.
This Adolescent Patient Has Triangular Recession of the Frontal Hairline.
This Child Developed Trichophytic (Majocchi) Granuloma after a Lesion of Tinea Corporis (Initially Thought to Represent Nummular Eczema) Was Treated with a Topical Corticosteroid. Note the Presence of Follicular-Based Papules and Pustules.
This Child Who Has Urticaria Also Exhibits Angioedema, an Indistinct Swelling around the Eyes.
This Erythematous Eruption of Macules and Papules Occurred after Amoxicillin/Clavulanic Acid Was Administered in a Patient Who Was Later Found to Have Infectious Mononucleosis.
This Neonate is Covered with a Thick Collodion Membrane and There is Mild Eclabium.
This Patient with Anhidrotic (Hypohidrotic) Ectodermal Dysplasia Exhibits the Typical Facial Features, Including Depressed Nasal Bridge, Midface Hypoplasia, Periocular Hyperpigmentation, and Sparse Hair.
This Severe Case of Henoch-Schönlein Purpura Resulted in Ulcers with Necrosis on the Dorsal Aspect of the Feet, Which Ultimately Healed with Scarring.
This Young Adult with Recessive Dystrophic Epidermolysis Bullosa Has Widespread Bullae and Erosions that Heal with Scarring.
Tinea Capitis Caused by Trichophyton Tonsurans Produces an Endothrix Infection. The Infected Black Dot Hair is Filled with Arthrospores, the Spherical Objects Shown Here.
Tiny Follicular Papules in an Adolescent with Skin of Color Who Has Atopic Dermatitis. Reproduced with Permission from Krowchuk Dp. Practical Aspects of the Diagnosis and Management of Atopic Dermatitis. Pediatr Ann. 1987;16(1):57-66.
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