Peter Noronha, MD

An 11-year-old boy with 4-month history of acnelike rash on his face and both upper arms. Rash is associated with redness and itching. Application of adapalene gel resulted in no change.

This thumb anomaly in a 16-month-old boy was noted within the first month of life. The mother heard an occasional popping sound when trying to straighten the thumb. The infant also had subcoronal hypospadias. He was otherwise healthy.

Seventeen-month-old Hispanic boy with 7-month history of a swelling on his back. Lesion first looked like a small "scar," then gradually grew over next few months. Lesion appeared to blister, with subsequent discharge of clear fluid. No symptoms other than intermittent pruritus at lesion site. Patient not taking any medications.