Pulmonary embolismThe day after a 16-year-old Caucasian boy was evaluated in his orthopedist’s office for intermittent swelling of his left lower leg and thigh of 1 week’s duration and leg pain of 3 days’ duration, he experienced shortness of breath and chest pain.
Lead toxicity<P class=p1><IMG style="FLOAT: left; MARGIN-LEFT: 5px; MARGIN-RIGHT: 5px" title="lead toxicity" alt="lead toxicity" src="/sites/default/files/transfer/1210CFP_PCLead_A.jpg" width=90 height=90>A 2-year-old boy presented to his pediatrician with an elevated screening lead level discovered at an outside clinic. The mother was told that he had a level of 33 µg/dL and iron deficiency anemia. His medical history was notable for speech delay and intermittent emesis since birth that had improved over the past 6 months. Physical examination findings were unremarkable.</P>
incontinentia pigmentiA 12-year-old girl presents with a “peculiar” rash and developmental delay.
HIVThe skin is a common site for clinical manifestations of HIV infection. Cutaneous findings may occur at the onset of the infection.
food allergyPeanut allergy is an IgE-mediated immune reaction that usually occurs within seconds and up to 2 hours after ingestion.
PneumoniaA 6-year-old boy was transferred to our hospital with a fever of 6 days’ duration, rash, and the presence of an S3 gallop. He and multiple family members had had cough and rhinorrhea during the preceding month.
Herpes zoster<p><img alt="herpes zoster" src="/sites/default/files/transfer/1210CFP_WDKumar_IndxFg.jpg" style="height:90px; margin-left:5px; margin-right:5px; width:90px; float:left" title="herpes zoster" />A 7-year-old girl with a history of secondary adrenal insufficiency of unclear cause treated with replacement corticosteroid therapy had pain and swelling of the jaw for the past 4 days. She also had fever and a painful itchy rash with blisters on the right side of the face involving the upper lip, cheek, and forehead for the past 3 days. There were no sick contacts. Immunizations, including varicella vaccine, were up-to-date. She had not had chickenpox infection. Father had hypogammaglobulinemia and alopecia.</p>
Case In PointA 17-year-old girl presented to the emergency department with bilateral ear pain, worsening dysphagia, and throat pain of about 7 days’ duration. She also had fever.
Toilet trainingThe pediatric practitioner can play an essential role in support of families during the toilet training process.
Sexual abusePremature or precocious adrenarche refers to an earlier than normal secretion of adrenal androgens that results in an isolated development of pubic hair (pubarche) before the age of 8 years in girls and 9 years in boys, without the appearance of other signs of sexual maturation.