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Anne Sveen, MD


Localized Scleroderma

June 01, 2008

Scleroderma may present at any age and can be localized or systemic. Localized scleroderma affects the skin, subcutaneous fascia, and occasionally muscle and bone. Systemic scleroderma is characterized by chronic disease with both skin changes and visceral abnormalities. Rarely, localized scleroderma may progress to systemic disease; however, screening for this form is unnecessary in patients who have no systemic symptoms.1-5

Pityriasis Rosea in a Young Boy

February 01, 2008

For 3 weeks, a 3-year-old African American boy had a mildly pruritic rash on his buttocks, lower extremities, upper thighs, and soles. The patient was initially seen at an urgent care center, where he was given amoxicillin for suspected scarlet fever. A week later, he presented to the emergency department and was treated with griseofulvin for tinea corporis. A skin culture did not grow fungus.

Pityriasis Rosea in a 3-Year-Old Boy

February 01, 2008

The child's mother recalled that the rash started as a single patch on his lower back and that the child had an upper respiratory tract infection 4 weeks earlier.