0
Special Feature |

Picture of the Month FREE

Agustin Toll, MD; Asunción Vicente Villa, MD; Eulalia Baselga, MD; Antonia González Enseñat, MD; Walter W. Tunnessen Jr, MD
[+] Author Affiliations

From the Dermatology Unit, Hospital Sant Joan de Déu, Barcelona, Spain.


Section Editor: Walter W. Tunnessen, MD


Arch Pediatr Adolesc Med. 2000;154(12):1263. doi:10.1001/archpedi.154.12.1263.
Text Size: A A A
Published online

A 6-YEAR-OLD girl had an 8-month history of papules on the interphalangeal joints of both hands. She was otherwise healthy. On physical examination her upper eyelids were erythematous, and the malar prominences were erythematous and slightly indurated (Figure 1). Violaceous papules were present over the proximal interphalangeal and metacarpophalangeal joints of both hands (Figure 2). Telangiectasia were present in the nail cuticles of the fingers (Figure 3). No other abnormalities were detected on physical examination. Muscle strength was normal. The parents reported that the facial erythema had been present for 2 years with exacerbations related to sun exposure. Results of laboratory investigations, including complete blood cell count, serum chemical analysis, aldolase and creatinine kinase levels, and antinuclear, anti–double-stranded DNA, anti-Ro, anti-La, and anti-Jo antibody measurements, were normal. An electromyogram and magnetic resonance image of the thigh were unremarkable.

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