Dermatology

The 13-year-old girl who has been brought to the emergency department (ED) by her parents has a one-day history of diffuse abdominal pain. They report that she was well until three days ago, when she developed a fever of 103? F.

Wrestlers and athletes in other "weight-sensitive" sports are at high risk of engaging in unhealthy weight loss practices. Learning how to intervene effectively will help you deal better with weight issues in all your patients.

Tularemia is far down in the differential diagnosis of lymphadenitis, but knowing the signs and symptoms of this tick-borne infection will help you keep it in mind.

Psoriasis can be hard to diagnose and treat in children and teenagers. Early therapy and thorough patient and parent education are the keys to a favorable outcome.

Asthma is often poorly controlled in children. To change that, the author calls for better acquaintance with the inflammatory nature of the disease and with evidence that suboptimal control can undermine patients& overall health and quality of life.

Revisiting neonatal jaundice, Pros and cons of juice, Baby not crawling? Not to worry! Eye on Washington

Revisiting neonatal jaundice, Pros and cons of juice, Baby not crawling? Not to worry! Eye on Washington

A growing number of families use herbal preparations to manage dermatologic problems. Are you familiar with what the literature shows about their effectiveness and safety?

This case is about "black-dot" ringworm, a form of tinea capitis.

Parents and pediatricians worry that this high school graduation rite is far from wholesome. The authors offer reassurance and suggestions for reducing risky behaviors.

The diagnosis is epidermolysis bullosa.

Most pediatricians are ill-prepared to address the growing concern of parents about children's exposures to environmental toxins such as pesticides and polychlorinated biphenyls (PCBs). This environmental health expert reviews the evidence about the potentially harmful effects of these chemicals and explains what makes children particularly vulnerable.

With an array of asthma medications from which to choose, pediatricians must understand the pharmacology of the different drugs in order to make appropriate choices for each child. The author reviews the medications used for long-term asthma management and quick relief, delivery systems for these agents, and promising new drug therapies that lie on the horizon.

A 4-month-old girl is referred to you to evaluate a large pigmented birthmark covering her left flank and abdomen.

This troublesome group of diseases—from juvenile rheumatoid arthritis to lupus to fibromyalgia—presents problems for pediatricians and patients alike. A guided tour will help you make an accurate diagnosis and initiate effective management.

This year's innovations include a hearing screener, a glucose monitor, new rapid optical immunoassays, and a CD-ROM version of the Red Book. Meanwhile, technologies that could revolutionize your practice are getting more sophisticated and affordable all the time.

Parents often believe that their child's hives or GI upsets are caused by a sensitivity to a particular food. Confirming their suspicions relies on knowledge of common symptoms of food allergy and a diagnostic process that may or may not include skin prick or blood tests.

Acne remains an unavoidable part of growing up for many adolescents, who must cope with both the cosmetic and psychosocial effects of the disorder. Here's a look at the latest topical and systemic treatment options for mild to moderate acne.

Artificial fingernails are all the rage among adolescents, but those who wear them may be playing with fire?literally. Educating yourself and your patients about the health and safety risks of acrylic nails, including the previously undocumented danger reported here, could prevent potentially disfiguring complications.

Skin lesions are signposts to an array of systemic conditions. This review covers some of the most distinctive associations.

Asthma management has come a long way in recent years, but many dilemmas remain: When is the right time to make the diagnosis and start anti-inflammatory therapy? What about growth suppression from steroids? Is an inhaler or nebulizer best for acute attacks?

Hyperandrogenism, most notably polycystic ovary syndrome, is a common cause of acne and menstrual difficulties in teenage girls, yet many pediatricians fail to recognize the condition. Prompt diagnosis and treatment can relieve a significant source of distress for patients, while helping to prevent serious complications later in life.

Boy with dark brown streak in fingernail.

The request for a neurologic consultation sounded a bit out of the ordinary: "Please evaluate a 22-month-old with odd, shaking movements of the legs."

The request for a neurologic consultation sounded a bit out of the ordinary: "Please evaluate a 22-month-old with odd, shaking movements of the legs."

Minimizing the risk that your patients and employees will acquire a contagious disease in your office demands diligent infection control. This review summarizes guidelines and offers recommendations that can reduce the spread of infection?from what soap and lotion to use for handwashing to what immunizations your office staff need.

Though not as deadly as it once was, HUS remains a serious threat to young children, with a real risk of dangerous complications. Continuing outbreaks caused by E coli O157:H7 highlight the need for accurate diagnosis, intensive supportive care, and effective prevention.