trichobezoars<P>We congratulate <EM>Consultant For Pediatricians</EM> Editorial Board member Deepak M. Kamat, MD, PhD, who was presented with the 2010 American Academy of Pediatrics<BR>(AAP) Education Award at the National Conference & Exhibition in San Francisco last month. This award acknowledges Dr Kamat’s commitment to teaching pediatric medicine to students, residents, and fellows. It also emphasizes the significant impact his contributions have had on the health and well-being of children and adolescents.</P>
Galactorrhea<div id="article-content-body"><p>The mother of a 5-week-old boy was concerned about a swelling under her infant’s right nipple. A 2-cm, movable subareolar mass was palpated on examination. No redness was noted around the nipple, and no tenderness was appreciated. Gentle pressure on the mass caused a small amount of white milky substance to exude from the nipple.</p></div>
Wiskott-Aldrich Syndrome<p><img src="/sites/default/files/transfer/1011cpfPCWASabdomen_thumb.jpg" alt="Wiskott-Aldrich Syndrome" width="90" height="83" style="margin: 5px; float: left;">This 9-month-old boy was initially evaluated at age 6 weeks for an extensive eczematous rash on the head and antecubital and diaper areas and blood and mucus in the stool with each diaper change over a 2- to 3-week period. The symptoms were attributed to milk allergy, and the infant’s formula was changed. At 8 weeks of age, a petechial rash developed on the boy’s trunk and legs. His symptoms persisted despite multiple formula changes, and he was referred to the emergency department.</p>
Talipes calcaneovalgusA newborn girl was noted to have talipes calcaneovalgus, excessive dorsiflexion of the foot that allows its dorsum to come into contact with the anterior aspect of the lower leg—the toes point upward, the arch is flat.
Different Colored Eyes<p><img src="/sites/default/files/transfer/eyes.png" style="margin-right: 8px; margin-left: 8px; border: 1px solid black; float: left;" width="150" height="98">A 6-month-old boy with different colored eyes since birth. The parents are concerned that the eye anomaly may be associated with an underlying condition after reading about eye disorders online. They think the color of the eyes may have darkened slightly but have not noticed an unequal appearance to the pupils or drooping of either upper eyelid.</p>
Anxiety Disorders<p><strong>ABSTRACT: The American Academy of Child and Adolescent Psychiatry recommends routine screening for anxiety in childhood, querying various sources (child, parent, teacher) about anxiety symptoms, assessing for comorbid disorders, and evaluating severity and functional impairment. Transient and developmentally appropriate worries and fears need to be distinguished from anxiety disorders. Somatic symptoms, such as headache or stomachache, often accompany anxiety. A child’s anxiety may manifest as crying, irritability, or other behaviors that may be misunderstood by adults as disobedience. Self-report measures can help screen for anxiety symptoms and monitor treatment response. Psychotherapy is the initial treatment of children with anxiety. Pharmacotherapy with selective serotonin reuptake inhibitors may be necessary for those with moderate to severe anxiety. In these children, the addition of cognitive-behavioral therapy may improve functioning better than either intervention alone.</strong></p>
acne<p><img src="/sites/default/files/eggs.png" width="150" height="134" style="margin-right: 8px; margin-left: 8px; float: left; border: 1px solid black;">With the current push to provide influenza vaccination to all children 6 months and older, pediatricians are likely to hear this question from many parents who are unsure whether their child has egg allergy. It is important to be able to identify whether a child's symptoms are consistent with a hypersensitivity reaction to egg and whether it is safe to administer influenza vaccine.</p>