Dermatology

Imiquimod 3.75% cream has been approved by the FDA for the topical treatment of external genital and perianal warts in patients aged 12 years and older.

A 12-year-old boy has had this brown patch on his left buttock since birth. His mother is concerned that the patch has grown over the years and she wants to be sure that it will not be a health concern for her son.

For 3 days, a 6-year-old boy had “redness and pain” of skin on his left upper abdomen. Physical examination revealed a large cluster of vesicles with underlying erythema and mild warmth.

A 4-year-old boy was brought for evaluation of a tiny cystic mass on the penis. The lesion was first noted a year earlier when the foreskin became retractable.

The mass protruding from the introitus of this 1-month-old girl was first noted at birth. She was born to a 26-year-old primigravida at term after an uncomplicated pregnancy and normal spontaneous delivery.

A 6-year-old boy presented with a swollen penis and lip within an hour after ingesting some peanuts.

Pediatricians should be offering advice about ultraviolet radiation (UVR) exposure at 1 or more health-maintenance visits a year, beginning in infancy, according to a new policy statement on UVR recently issued by the American Academy of Pediatrics (AAP).

This 16-year-old boy has had severe nodulocystic acne that has responded to isotretinoin therapy. Unfortunately, this therapy was initiated after the scarring process-shown here on the back and shoulder-had developed.

A 10-year-old girl had pain in her left arm after falling off a bunk bed 4 days earlier. She denied fevers or other trauma. Since the fall, she had had difficulty in bearing weight on the arm. Her medical and family histories were unremarkable.

Despite curettage several months earlier, the facial rash on this 4-year-old boy had spread across both cheeks and was now mildly pruritic.

A 7-year-old boy was brought for evaluation of a rash on the chin that had appeared 2 weeks earlier. It was slightly itchy. The mother had applied a topical corticosteroid for a few days but then stopped because of worsening of the lesion.

Pediatricians should be offering advice about ultraviolet radiation exposure at 1 or more health-maintenance visits a year beginning in infancy.

The parents of a 4-year-old boy complain that he has developed a frightening, rapidly progressive skin rash over the course of 3 days.

The recombinant human papillomavirus quadrivalent (types 6, 11, 16, and 18) vaccine was effective at preventing genital warts in men 16 to 26 years old in phase 3 student results published in the New England Journal of Medicine.

Musculoskeletal infections in children include osteomyelitis, septic arthritis, and pyomyositis. Most of these infections are bacterial.

A 14-year-old girl had fatigue, a slight sore throat, and low-grade fever for a week. The mother was concerned that she had “mono” like her older sister who had the same symptoms and in whom the illness was diagnosed 2 months earlier.

This obese 18-year-old has had a brown, scaly rash for 4 years. Over that time, the rash has spread from his neck, where it initially developed, to his chest and back.

This erythematous, blanching papular rash developed on the trunk of a 20-month-old boy 3 days after he became ill with a low-grade fever (temperature of 38.3ºC [101ºF]) and mild upper respiratory tract infection symptoms.

Five-year-old girl with redness and light sensitivity of the right eye of 2 days' duration. She denied any significant pain or decreased vision. She initially presented to an urgent care clinic, where application of polymyxin B/trimethoprim eye drops 4 times a day was prescribed.

The bump on this 5-year-old girl's left wrist had been gradually enlarging. The child could not remember how long it had been present.

An 11-year-old has had a warty plaque on her neck since birth.

A 10-year-old boy presents to your office with sharp right-sided flank pain. The pain began the night before, and the child could produce only a few drops of urine the next morning.

A 4-year-old boy who is new to your practice presents for a well-child visit. His parents report that he has had brownish patches on his torso and back since early infancy. The lesions have decreased in size and number as he has aged. The rash is intermittently pruritic, especially when anyone touches the individual lesions.

In the course of studying azithromycin as a treatment for pityriasis rosea (PR) which we found does not work, we collected much data on the distribution, morphology, and course of the lesions.

A female infant born at 29 weeks' gestation after premature membrane rupture was admitted to the neonatal ICU in respiratory distress.