Encephalopathy Syndrome<p class="p1">An 11-year-old girl being treated for renal failure and hypertension was found unresponsive at home in bed after a generalized seizure that, according to the child’s grandmother, lasted about 5 minutes. She had been hospitalized 23 days earlier for 2 weeks.<strong> </strong>During her hospitalization, systemic lupus erythematosus (SLE) was diagnosed and cerebritis with seizures developed, for which treatment with levetiracetam was started.</p>
Epidermolysis BullosaA baby boy born at 39 weeks’ gestation to a 26-year-old mother (gravida 1, para 0) after normal vaginally delivery was noted to have peeling and absence of skin on the right hand and feet at birth.
sarcoma botryoides<p class="p1">Following an episode of hematuria and passage of debris in the urine, a 16-month-old Caucasian girl was brought to the emergency department (ED). There was no report of fever or history of trauma. The parents are the only caregivers. The child had been treated with oral antibiotics for 2 prior urinary <span class="s2">tract infections. She had 1 previous episode of hematuria;</span> <span class="s3">at that time, urethral prolapse was diagnosed and a topical </span>estrogen cream was prescribed.</p>
DermclinicAn 11-year-old boy is referred for evaluation of an asymptomatic rash on his anterior thighs. The macular, partially blanching, erythematous to slightly tan, reticulated rash began 2 months earlier and involved the left thigh more than the right.
epididymal cyst<p class="p1"><span class="s1"><strong><strong><img src="/sites/default/files/transfer/Screen_Shot_2012-11-19_at_3.21.23_PM.png" alt="epididymal cyst" title="epididymal cyst" width="90" height="90" style="float: left; margin-left: 5px; margin-right: 5px;"></strong>THE CASE:</strong></span> A 14-year-old previously healthy boy presents to the clinic with a “lump on his testicle.” He had first noticed the lump 1 year earlier; it had not changed in size. He denies any trauma to the area, pain, or overlying erythema. Review of systems is otherwise normal.</p>
rat-bite feverThe Case: A 5-year-old girl with rash and fever of 3 days’ duration presented to the pediatric infectious diseases service after same-day referral from her pediatrician. The rash involved the extremities, including palms and soles, and spared the face and trunk.
Hypermelanosis<p class="p2"><span class="s1"><img src="/sites/default/files/transfer/1211CFP_WDLeung_IndxFg.jpg" alt="hypermelanosis" title="hypermelanosis" width="90" height="90" style="float: left; margin-left: 5px; margin-right: 5px;">A 4-year-old boy with asymptomatic hyperpigmented lesion on the left shoulder and left arm. The hyperpigmentation was first noted shortly after birth and had progressively enlarged until the child was 3 years old. The lesion has since increased proportional to body size. The child is otherwise healthy and developmentally normal. He takes no medication. What's your diagnosis?</span></p>
HIVTypically, skin disease in HIV-infected children is more severe and more recalcitrant to treatment than in age-matched uninfected controls.
FracturesDistal tibial epiphyseal fractures are one of the most common types of epiphyseal fractures.
eye infectionFor uncomplicated infections of the eyelid, treatment typically consists of warm compresses.
hair tourniquet syndrome<p><em><strong><img alt="hair tourniquet syndrome" src="/sites/default/files/Screen%20Shot%202016-12-05%20at%203.11.39%20PM.png" style="height:90px; margin-left:5px; margin-right:5px; width:90px; float:left" title="hair tourniquet syndrome" /></strong>I found the discussion of “Hair Tourniquet Syndrome” in the Photoclinic section of your September issue </em><em>(</em><em>CONSULTANT FOR PEDIATRICIANS</em><em>,</em><em> 2012, Vol. 11, No. 9, pages 284-285) very interesting. In most cases, the </em><em>hair can be removed with fine forceps.</em><em> I thought that the authors’ suggestion for treatment with a nerve block and surgical intervention a little aggressive in that there is an intermediate effective option.</em></p>