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Special Feature |

Picture of the Month—Quiz Case FREE

Carol Lattouf, MD; Antonella Tosti, MD; Lawrence Schachner, MD
[+] Author Affiliations

Author Affiliations: Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Florida.


SECTION EDITOR: SAMIR S. SHAH, MD, MSCE


Arch Pediatr Adolesc Med. 2011;165(11):1041. doi:10.1001/archpediatrics.2011.175-a.
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Published online

A 5-year-old girl presented to our clinic complaining of a 6-month history of dermatitis that started on her knees and elbows and spread to her face. The skin lesions have been worsening and have not responded to topical emollients and corticosteroids (Figures 1, 2, and 3). The mother reported that the girl has low energy. Test results from past medical examinations were within the normal limits.

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Graphic Jump Location

Figure 1. Pink papules and plaques over the extensor surface of the metacarpophalangeal and interphalangeal joints of a 5-year-old girl who presented to our clinic complaining of a 6-month history of dermatitis.

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Graphic Jump Location

Figure 2. Erythematous lichenified plaques on the elbow of a 5-year-old girl who presented to our clinic complaining of a 6-month history of dermatitis.

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Graphic Jump Location

Figure 3. Dermoscopy of the proximal nailfold. A, Homogeneously distributed capillaries around the nail fold are shown in a healthy person (long arrows). B, Enlarged/giant capillaries (thin arrows) and loss of capillaries (thick arrow) are findings associated with this condition.

Figures

Place holder to copy figure label and caption
Graphic Jump Location

Figure 1. Pink papules and plaques over the extensor surface of the metacarpophalangeal and interphalangeal joints of a 5-year-old girl who presented to our clinic complaining of a 6-month history of dermatitis.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2. Erythematous lichenified plaques on the elbow of a 5-year-old girl who presented to our clinic complaining of a 6-month history of dermatitis.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 3. Dermoscopy of the proximal nailfold. A, Homogeneously distributed capillaries around the nail fold are shown in a healthy person (long arrows). B, Enlarged/giant capillaries (thin arrows) and loss of capillaries (thick arrow) are findings associated with this condition.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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