Dermatology

The mother of a 17-day-old boy with Down syndrome calls the physician over the weekend worried about increasing swelling, redness, warmth, and yellowish-brown drainage from the umbilicus over the last 8 hours.

This 4-year-old boy returned home after a day at a small private daycare with a bite mark on his forearm.

This child presented with persistent fever, cough, and worsening rash of 5 days’ duration. The rash had spread to the neck, chest, back, and arms. What does this look like to you?

A 9-year-old girl is brought by her mother because of the acute onset of a facial rash. There is no associated itching, and the child is, and has been, otherwise healthy. What diagnoses would you consider?

A 9-year-old girl is brought by her mother because of the acute onset of a facial rash. There is no associated itching, and the child is, and has been, otherwise healthy.

A 17-year-old girl being treated for mild acne, anxiety, and depression, presented with an ankle “bruise” related to an injury sustained 2 years earlier. Symptoms resolved with treatment, but the hyperpigmentation persisted.

An 11-year-old African American girl was hospitalized with new fever in the context of unexplained cervical chain lymphadenopathy. WBC and ANC were low, ESR and LDH levels were elevated. Does the image here offer a clue to the ultimate diagnosis?

Hoarseness developed in a 27-month-old girl who was previously treated in the ED for a presumed asthma exacerbation and bronchiolitis.

A 6-month-old boy with 1-week history of dry cough that worsened at night. He had been wheezing off and on for the past month and had visited the emergency department on one occasion.

A frustrated teenage girl comes to your office complaining of an itchy, red rash on her right calf that she's had for 3 months.

A 22-month-old boy with failure to thrive presented with a 3-day history of rhinorrhea, fever, and abdominal pain associated with tube feeding. A PEG tube had been placed 2 months before this visit.

A 3-year-old child was brought to her primary caregiver by her maternal grandmother who was concerned about the infected lesion shown here. The child was at the center of a heated custody dispute and abuse was strongly suspected. But could the lesion’s origin be something else?

Labor was induced at term in a 29-year-old woman who had had an uneventful pregnancy. Her baby weighed 3575 g (7 lb, 14 oz). The neonate’s left arm was internally rotated with flexion at the wrist. He had a normal grasp reflex, but Moro reflex was incomplete.

A 4-year-old, previously healthy girl presented to a tertiary care children’s hospital emergency department (ED) with large, tense bullae involving up to 40% of her body surface area. The patient’s parents described a 12-day history of itchy, papulovesicular lesions that had progressed into large blisters.

The worried mother of a healthy 21-month-old girl asks you to evaluate a peculiar, squiggly blue line on the top of her daughter's right foot.

A 2-year-old girl has been followed for developmental delays and slow weight gain by her pediatrician and early childhood intervention therapists. The 17-year-old, first-time mother was also a runaway and had avoided early prenatal care. More details and questions for you, here.

Here: Ted Rosen, MD, presents 2 tips about 2 skin disorders that you might not know.

A 14-year-old boy presented to the abuse clinic at the request of child protective services. The boy’s gym teacher had noticed multiple large bruises on his back, arms, and legs. School officials had previous experience with the child’s “volatile” stepfather and thought him “capable of abuse.” There were also unofficial concerns of past domestic abuse. A 14-year-old boy presented to the abuse clinic at the request of child protective services. The boy’s gym teacher had noticed multiple large bruises on his back, arms, and legs. School officials had previous experience with the child’s “volatile” stepfather and thought him “capable of abuse.” There were also unofficial concerns of past domestic abuse.

A third of patients with epilepsy are refractory to current treatment options. Thus, new agents are a welcome addition.

Here: Ted Rosen, MD, presents 5 tips about 5 skin disorders that you might not know.

A bouncing 8-month-old baby boy comes to your office with a blistering eruption and a very worried mother.

A 15-year-old girl has a fever and rash.

This 1-year-old African-American boy is being followed for developmental delays. His 35-year-old mother has no known health problems, and this was her third pregnancy.Premature delivery at 27 weeks was uncomplicated, yielding appropriate birth weight and Dubowitz scores for gestational age.

A 5-year old boy presented with these nonpruritic nonsuppurative painful erythematous nodules on his lower extremities. The rash had appeared about 1 week after the onset of a dry hacking cough.

A15-year old girl presented with a rash on both feet that had appeared a month earlier. Initially the rash looked like bruising at the base of both large toenails.

A hypoxemic, 2-month-old boy has respiratory synctial virus bronchiolitis. As you're listening to his wheezing chest during the emergency department visit, his mother asks about the "big freckles" on his scalp and forehead that have been present since birth.