0
Special Feature |

Picture of the Month—Quiz Case FREE

Hala F. Adil, MD; Kimberly A. Horii, MD; Mark F. Hoeltzel, MD
[+] Author Affiliations

Author Affiliations: University of Missouri–Kansas City Medical School (Dr Adil) and Sections of Dermatology (Dr Horii) and Rheumatology (Dr Hoeltzel), Children's Mercy Hospitals and Clinics, Kansas City.


SECTION EDITOR: SAMIR S. SHAH, MD, MSCE


Arch Pediatr Adolesc Med. 2012;166(3):283. doi:10.1001/archpediatrics.2011.789a.
Text Size: A A A
Published online

A 3-month-old African American boy presented to the dermatology clinic for evaluation of scalp lesions that were not improving with topical or oral antifungal medications. These lesions were present at birth but enlarged by 2 weeks of age. The infant had no other systemic symptoms. Maternal history was significant for mixed connective tissue disease.

Physical examination revealed a thriving infant with 2 erythematous plaques with well-demarcated borders and central atrophy on the left parietal scalp and postauricular region (Figure). The remainder of his physical examination was unremarkable. Laboratory studies revealed an elevated aspartate aminotransferase level of 339 U/L (reference range, 10-60 U/L) (to convert to microkatals per liter, multiply by 0.0167) and alanine aminotransferase level of 364 U/L (reference range, 5-50 U/L) (to convert to microkatals per liter, multiply by 0.0167) but an otherwise normal complete blood cell count and normal comprehensive metabolic profile.

Place holder to copy figure label and caption
Graphic Jump Location

Figure. Annular erythematous plaques with central atrophy behind the left ear.

Figures

Place holder to copy figure label and caption
Graphic Jump Location

Figure. Annular erythematous plaques with central atrophy behind the left ear.

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
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.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
JAMAevidence.com