Nirav Shastri, MD

CHILDRENS HOSPITALS & CLINIC

Articles

Nickel Dermatitis

October 01, 2008

For the past few weeks, a 10-year-old boy had a pruritic abdominal rash that had not responded to over-the-counter topical medications. The rash had appeared around the time he started wearing a new belt (shown). The child was otherwise healthy. There was a family history of asthma.

Erythema Nodosum

June 01, 2008

Results of a complete blood cell count (CBC), measurements of electrolyte concentrations, and urinalysis were normal. A rapid streptococcal test result was negative. The C-reactive protein level was elevated at 3.3 mg/L (normal, less than 1 mg/L); the erythrocyte sedimentation rate was 58 mm/h (normal, 4 to 20 mm/h).

Bullous Impetigo in a Neonate

March 01, 2008

Multiple tender flaccid bullae (about 2 mm to 2 cm) were present on the perineum. There was no associated discharge. The ruptured blisters had marked erythema in the center and a scaly rim at the periphery. The Nikolsky sign could not be elicited. The infant was afebrile. The remainder of the examination findings were normal.

Cuboid Compression Fracture

January 01, 2008

Three-year-old boy limping on right foot after an unwitnessed fall from trampoline the day before. Pain controlled with ibuprofen. No history of chronic diseases or routine medication use.

Acute Balanoposthitis

November 01, 2007

A 4-year-old US-born Hispanic boy presented with penile discharge and painful urination. His mother reported that he had no fever, trauma, history of masturbation, or recent travel history. She did not suspect any abuse. There had been no similar complaints in the past.