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November 1999, Vol 153, No. 11 >
Special Feature | November 1999

Picture of the Month FREE

Avinash K. Shetty, MD; David Ode, MD; Wesley Galen, MD; Raj P. Warrier, MD
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Section Editor: Walter W. Tunnessen, MD

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Arch Pediatr Adolesc Med. 1999;153(11):1197-1198. doi:10.1001/archpedi.153.11.1197.
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A 5-YEAR-OLD BOY, born in the United States to Pakistani parents, had a history of skin problems and the passage of pink-red urine since birth. He developed severe phototoxic reactions, including vesicles and bullae with resultant scarring, in areas of the skin exposed to the sun. His face was most severely affected (Figure 1). The dorsum of both hands demonstrated hyperpigmentation with irregular areas of hypopigmentation and skin atrophy (Figure 2). In addition to the cutaneous changes, on physical examination he was found to have hepatosplenomegaly and red-stained teeth.

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Grahic Jump Location
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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

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