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Eye on Washington

April in the nation's capital city is a time of flowering: public spaces filled with daffodils and tulips, trees bursting into blossom. Most years, optimism flowers along with the trees.

Planning is under way for a new children's hospital building at my institution, prompting predictions about the inpatient needs of infants, children, and young adults into the next few decades. One's natural instinct is to consider today's needs and the innovations that can be reasonably anticipated during the next five to 10 years, but this new hospital probably won't even be occupied until at least 2007.

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.

Is it autism?

Autism and related pervasive developmental disorders are a challenge to diagnose. This review covers diagnostic criteria, conditions to consider in the differential, the evaluation, and treatment options.

Eye on Washington

"The Columbia is lost. There are no survivors." With those somber words, President George W. Bush made the announcement that began a difficult month for all Americans.