Diaper dermatitisA 3 1/2-year-old girl, who is nonverbal because of an underlying neurological disorder, presented to day care with a pelvic bruise.
Diaper dermatitis<p><img src="/sites/default/files/transfer/0802cfpPCPityriasisRosea_thumb.jpg" alt="Pityriasis Rosea" style="margin: 5px; float: left;" height="58" width="90">For 3 weeks, a 3-year-old African American boy had a mildly pruritic rash on his buttocks, lower extremities, upper thighs, and soles. The patient was initially seen at an urgent care center, where he was given amoxicillin for suspected scarlet fever. A week later, he presented to the emergency department and was treated with griseofulvin for tinea corporis. A skin culture did not grow fungus.</p>
Top Papers Of The MonthJuvenile laryngeal papillomatosis is usually characterized by wart-like exophytic lesions that have a predilection for the larynx.
Adolescent Behavior DisordersThe photos presented this month reveal disease entities I have seen that did not respond to conventional therapy and that became resistant "diaper rashes."
Skin Disorders<p><em>s a practicing pediatrician in East Hampton, NY, where Lyme disease is endemic, I read with interest the recently published case by Riva Kamat, MD, involving a <a href="http://www.consultantlive.com/display/article/10162/11465">girl with Lyme meningitis</a> who underwent a lumbar puncture.</em><sup><em>1</em></sup><em> I have seen several cases of Lyme meningitis as well as Bell palsy from Lyme disease. Bell palsy from Lyme disease is a peripheral neuropathy, not a symptom of meningitis--as was described in Dr Kamat's case.
allergic reactionOn morning rounds in the well-baby nursery, a nurse brings your attention to a 1-day-old girl who is having trouble latching onto the breast.
temper tantrums<P>Parents often come to the pediatrician with concerns about their preschooler's temper tantrums. Should we reassure them that tantrums are normal, or should we refer the child for further evaluation? What clues suggest that tantrums might be a sign of future problems?</P>