0
Special Feature |

Radiological Case of the Month FREE

H. Simon Schaaf, MBChB, DCM(SA), MMed(PAED); Peter R. Donald, MBChB, FCP(SA), DCH, MRCP, DTM&H, MD
[+] Author Affiliations

From the Department of Paediatrics and Child Health, University of Stellenbosch, Tygerberg, South Africa.


Section Editor: Beverly P. Wood, MD


Arch Pediatr Adolesc Med. 2000;154(10):1059. doi:10.1001/archpedi.154.10.1059.
Text Size: A A A
Published online

A 13-MONTH-OLD girl fell and had painful swelling of the right ankle on which she did not want to bear weight. Delivery was at term after an uncomplicated pregnancy. The mother's venereal disease research laboratory serology test for syphilis was negative early in pregnancy, and it was not repeated. Immunizations, including BCG vaccine, were up to date. Two adults in the house hold had pulmonary tuberculosis. The child was notevaluated and received no tuberculosis chemoprophylaxis. The child weighed 10.2 kg (50th percentile) and was 80 cm long (75th-90th percentile). Her temperature was normal, she was anemic, had submandibular and inguinal lymphadenopathy, swelling and tenderness of the right ankle and lower leg, and to a lesser degree, of the left ankle and lower leg. The ulnar aspect of the right hand was swollen, and cardiovascular, respiratory, and abdominal examination findings were normal. Symmetrical, flat, dark perianal lesions were observed, suggesting condylomata lata. Radiographs of both lower extremities (Figure 1) and hands (Figure 2) were obtained.

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.

Articles Related By Topic
Related Topics
JAMAevidence.com

The Rational Clinical Examination
Make the Diagnosis: Early Pregnancy

The Rational Clinical Examination
Original Article: Is This Patient Pregnant?