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Pediatric Dermatology: A Quick Reference Guide
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Linear Iga Dermatosis Lesions Showing Bullae Surrounding a Crustthe “cluster of Jewels” Configuration.
Linear Morphea Involving the Face. Note the Atrophy Affecting the Chin to the Left of the Midline.
Localized Morphea on the Back of a Teenager. This Older Lesion is Characterized by an Atrophic Plaque.
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.
In Occluded Areas, Such as the Axilla, the Lesions of Psoriasis May Lack Scale.
In Patients with Skin of Color, the Lesions of Kwashiorkor May Appear Hyperpigmented. However, the “flaky Paint” Appearance (Ie, Scale with a Well-Defined Raised e.g.) is Present.
In Peutz-Jeghers Syndrome, Lentigines Appear on the Face, Lips, and Oral Mucosa. They are Associated with Gastrointestinal Polyposis.
In Severe Acne, Nodules and Scarring are Present.
In Staphylococcal Scalded Skin Syndrome, Erosions around the Mouth Often Take on a “sunburst” Appearance.
Intensely Pruritic Lesions of Dermatitis Herpetiformis on the Leg of a Patient with Celiac Disease.
Intertrigo is Characterized by Erythematous Superficial Erosions Located in the Skinfolds.
In the First Stage of Incontinentia Pigmenti, Vesicles and Crusting Appear in a Linear Arrangement on the Limbs or in a Whorled Distribution on the Trunk.
In This Child with the En Coup De Sabre (Cut of a Saber) Form of Linear Morphea, Resolving Lesions Have Become Hyperpigmented.
In Tinea Versicolor, the Potassium Hydroxide Preparation Reveals Short Hyphae (Red Arrows) and Spores (Yellow Arrows) (Ie, “spaghetti and Meatballs”).
In Toxic Epidermal Necrolysis, Flaccid Bullae (Arrow) Appear and Rapidly Rupture.
In Urticaria Pigmentosa, Multiple Hyperpigmented Macules and Papules are Present. On Close Inspection, Lesions Have an Orange Peel-like (Peau D’orange) Appearance.
Involvement of the Feet in Atopic Dermatitis: Erythema, Lichenification, Scaling, and Numerous Erosions and Crusts.
Jacquet Erosive Diaper Dermatitis. Well-Defined Shallow Ulcers and Ulcerations with Some Healed Areas.
Juvenile Dermatomyositis. Gottron Papules on Bilateral Hands and Knees.
Juvenile Xanthogranuloma of the Scalp.
Kaposiform Hemangioendothelioma. This Violaceous, Firm Plaque Presented during Early Infancy on the Medial Thigh of This Young Child and Was Not Complicated by Kasabach-Merritt Phenomenon.
Kawasaki Disease. Erythematous Patches and Plaques with Foot Swelling.
Kawasaki Disease. Peripheral Gangrene Involving the Fourth and Fifth Digits Occurred in This Toddler.
Keratosis Pilaris: Follicular Papules that Have a Central Core of Keratin Debris.
Koplik Spots (Arrows): Punctate Whitish Gray Papules on an Erythematous Base that Appear on the Buccal Mucosa.
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