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Pediatricians can't always have immediate feedback for every patient, but decreases in serious illness later on life may be delayed gratification that can still be satisfying.


The office visit seems pretty routine: a 4-week-old whose mother is concerned about swelling in his left groin.


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Artificial fingernails are all the rage among adolescents, but those who wear them may be playing with fire?literally. Educating yourself and your patients about the health and safety risks of acrylic nails, including the previously undocumented danger reported here, could prevent potentially disfiguring complications.

Skin lesions are signposts to an array of systemic conditions. This review covers some of the most distinctive associations.


These guidelines will help you identify childhood syndromes that masquerade as pituitary, parathyroid, and thyroid disorders and one that mimics Marfan syndrome. Second of two parts.

Prompt screening for proteinuria can bring this uncommon condition to light in children who present with periorbital edema. Close consultation with a pediatric nephrologist offers the best hope for minimizing complications.

Learning disabilities that go undiagnosed and unaddressed in childhood can blight adult lives. Here's what you can do to help change the future for children with these disorders.

Memorial tribute to Catherine Caldwell Brown, editor.

Books pediatricians can recommend on problems encountered by children who wear glasses.


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Asthma management has come a long way in recent years, but many dilemmas remain: When is the right time to make the diagnosis and start anti-inflammatory therapy? What about growth suppression from steroids? Is an inhaler or nebulizer best for acute attacks?

Hyperandrogenism, most notably polycystic ovary syndrome, is a common cause of acne and menstrual difficulties in teenage girls, yet many pediatricians fail to recognize the condition. Prompt diagnosis and treatment can relieve a significant source of distress for patients, while helping to prevent serious complications later in life.




Pediatricians are advised to do what they can to keep parents informed about children's issues as election day approaches.

Boy with dark brown streak in fingernail.



The chief complaint, as stated by Grandmother, is increased "drinking and peeing."

A hospital in Michigan has developed a program to aid compliance with AAP guidelines on newborn discharge. Its plan could serve as a model for other institutions.

Recognizing that a child?s substandard home may be the cause of his or her asthma attacks, lead poisoning, or injury is the first step toward bettering that child?s health. The second step is to help the family access available resources for improving the home environment.

A hospital in Michigan has developed a program to aid compliance with AAP guidelines on newborn discharge. Its plan could serve as a model for other institutions.

Children referred for evaluation of an endocrine disorder often turn out to have findings that merely mimic the suspected disease. Early identification of these nondiseases can save patients and parents a lot of unnecessary testing and worry. First of two parts.