Dermatology

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After several days of suffering fever, headache, and malaise, a 17-year-old boy noticed a rash developing over much of his body. He sought medical attention and was admitted to the hospital.

A 14-year-old girl is brought to you complaining of an itchy red rash on her back. The rash appeared four months ago as a scaly red bump and enlarged over several weeks in an annular pattern to cover a large area.

You are asked to evaluate an 8-year-old boy who recently developed white rings around moles on his neck and back. Although he complains of slight itching, you don't see signs of scratching.

Faced with a child who has been exposed to mercury, would you recognize the signs and symptoms? Would you know what questions to ask, which lab tests to draw, and what treatment to initiate?

Journal Club

Summaries from the literature with comments by Dr. Burke

The search for preventive measures has yielded more questions than answers. The author explores current approaches to the problem and where those avenues of inquiry may lead.

Concern about the effect of inhaled steroids on growth has inhibited the prescribing of this class of medications for childhood asthma. The weight of findings suggests the effect on height may be less significant than that of untreated or inappropriately treated asthma.