0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Special Feature |

Picture of the Month—Quiz Case FREE

Cynthia J. Burk, MD; Bharani Pandrangi, MD; Elizabeth Alvarez Connelly, MD
[+] Author Affiliations

Section Editor: Samir S. Shah, MD
Section Editor: Albert C. Yan, MD
Author Affiliations:Departments of Pediatrics and Dermatology, University of Miami, Miami, Florida.


Arch Pediatr Adolesc Med. 2008;162(3):277. doi:10.1001/archpediatrics.2007.61-a.
Text Size: A A A
Published online

A 15-year-old Hispanic boy with a medical history of seborrheic dermatitis and mild facial acne was referred to the pediatric dermatology department for evaluation of “red-purple streaks” on his lumbosacral region. His pediatrician had referred him owing to concern of physical abuse by his parents; his case had been reported to the Department of Children and Families. The patient and his family denied trauma or physical abuse. On further questioning, it came out that he had a history of rapid vertical growth despite a negligible change in weight. Specifically, before his growth spurt, he was approximately 60% for height and 40% for weight; after his growth spurt, he was 85% for height and 50% for weight.

On physical examination, the patient appeared thin with violaceous, atrophic, horizontal plaques of the lumbosacral region (Figure). All other physical examination findings were unremarkable.

Place holder to copy figure label and caption
Figure.

Violaceous, atrophic, horizontal plaques of the lumbosacral region in a 15-year-old male patient.

Graphic Jump Location

Figures

Place holder to copy figure label and caption
Figure.

Violaceous, atrophic, horizontal plaques of the lumbosacral region in a 15-year-old male patient.

Graphic Jump Location

Tables

References

Correspondence

CME
Also 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.
Your answers have been saved for later.
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.
Submit a Comment

Multimedia

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

Web of Science® Times Cited: 1

Related Content

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

See Also...
Articles Related By Topic
Related Collections