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

Sara Jane H. Wasong, BS; Stacy A. Klepeiss, MD; Andrea L. Zaenglein, MD
[+] Author Affiliations

Author Affiliations:Penn State College of Medicine (Ms Wasong), and Departments of Dermatology (Drs Klepeiss and Zaenglein) and Pediatrics (Zaenglein), Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.


Section Editor: Samir S. Shah, MD
Section Editor: Albert C. Yan, MD


Arch Pediatr Adolesc Med. 2008;162(9):893. doi:10.1001/archpedi.162.9.893.
Text Size: A A A
Published online

A two-month-old, previously healthy Hispanic boy was transferred from a local hospital. He had a 2-week history of increased redness of his scrotum and penis. Two days prior to admission, the patient's mother noticed an ulcerative lesion on his scrotum. She had been treating the lesion with clotrimazole cream but took him to the local hospital when the lesion did not improve. Prior to transfer to our hospital, he was started on ceftriaxone sodium and vancomycin hydrochloride owing to the presumed infectious nature of the lesion. There was no associated fever, lethargy, or bleeding from the lesion, but significant pain was noted with diaper changes.

Physical examination revealed 2 tender ulcers on the scrotum measuring approximately 2 × 2 cm surrounded by a pink-red, erythematous, slightly elevated plaque that extended from the scrotum to the perianal region (Figure 1). Results of the remainder of the examination were normal.

Place holder to copy figure label and caption
Figure 1.

Two tender ulcerative lesions surrounded by a pink-red, erythematous plaque on the scrotum of a 2-month-old boy.

Graphic Jump Location

Figures

Place holder to copy figure label and caption
Figure 1.

Two tender ulcerative lesions surrounded by a pink-red, erythematous plaque on the scrotum of a 2-month-old boy.

Graphic Jump Location

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
JAMAevidence.com