A 9-year-old boy presents for evaluation of white spots on his hands, elbows, knees, and legs. There is also a ring around a mole on his back. The patient’s parents first noted areas of depigmentation on his trunk and extremities, and his lesions have spread particularly in areas of trauma. The lesions were most noticeable in the summer when tanning increased the contrast between the involved and uninvolved areas of his body.
You care called to the emergency department to evaluate a 4-month old girl with multiple areas of purpura, including a distinctive bruise on the later aspect of the left thigh. The child's mother states that she noticed these lesions after picking up the infant from her biologic father, whose was watching the child alone. No trauma history is reported. The child has been otherwise in good health, with no signs of infection.
The parents of a 15-day-old boy who returned for his 2-week checkup are worried about a firm, glistening papule on his abdomen that has been present since birth. The patient is otherwise healthy, but the parents are seeking reassurance. A pediatric dermatology referral was quickly placed.
The worried parents of a health 10-year-old girl ask you to evaluate her for a total-body red rash associated with scaling and edema.
You are called to the emergency department to evaluate a 2-year old boy with a fever for 5 days and a rapidly spreading rash on his face, arms, and legs for 2 days. The rash was made up of 3-mm to 6-mm diameter elongated vesicles on a red base. He is irritable and not eating well. There was another child at his day care with a similar rash, and his mother is worried that his 8-month old brother will develop the same illness.
The father of a healthy 3-year-old girl begs you to help with a bleeding bump on her left cheek. It has been present for a few weeks but in the last 2 days has bled profusely on 3 occasions for more than 30 minutes each time.
The mother of a 4-year-old boy schedules an urgent visit in your office this afternoon for evaluation of a birthmark.
The anxious first-time parents of a 10-day-old girl bring the baby to your office for urgent evaluation of a rash on the bottom of her right foot that has persisted despite treatment with topical antibiotics and antifungals.
You are called from your office to the nursery to see a healthy newborn with a diffuse facial eruption. Her mother, who had a normal pregnancy, labor, and delivery, has a history of Sjogren's syndrome.
The incidence of childhood melanoma is increasing. There is evidence that cumulative exposure to ultraviolet radiation from the sun in the first 18 years of life contributes to the development of future skin cancers.