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Picture of the Month

Richard W. Hartmann, MD; Murray Feingold, MD
Am J Dis Child. 1987;141(9):1007-1008. doi:10.1001/archpedi.1987.04460090084033.
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Figure 1.

Figure 2.

Figure 3.

The statements listed below are best associated with which of the above figures:

(a) Antibiotic therapy is indicated.

(b) The most serious manifestations are myocardial infarction and aneurysms, usually of the coronary arteries.

(c) A bullous lesion is usually present prior to the appearance of this lesion.

Denouement and Discussion  Fig 1.—Mild conjunctivitis, fissured lips, and erythema and desquamation of the hands in patient with Kawasaki disease.Fig 2.—Rash of staphylococcal scalded skin syndrome showing facial edema, perioral crusting, desquamation, and mournfulappearing face.Fig 3.—Verrucous lesion of incontinentia pigmenti.(a) Antibiotic therapy is indicated in the staphylococcal scalded skin syndrome, which occurs mainly in neonates and infants. A minor infection of the skin, conjunctiva, ala nasi, nasopharynx, and stool is overshadowed by a generalized response to the toxin. This starts with erythema of the skin creases and rapidly spreads over the entire body. Facial

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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.
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