Article |

Radiological Case of the Month

Shahid N. Khan, MB, BS; Karen G. Hufnagle, MD, PhD; Beverly P. Wood, MD
Am J Dis Child. 1988;142(7):781-782. doi:10.1001/archpedi.1988.02150070095034.
Text Size: A A A
Published online

A full-term, 2.76-kg female newborn infant in respiratory distress was delivered by emergency cesarean section from her 27-year-old primigravida mother. The prenatal period was uneventful, the baby's father had been in good health, and the family history yielded no information of concern. The infant had multiple, nodular, purplish skin lesions approximately 2 to 5 mm in diameter on her trunk and limbs. In addition, multiple smooth, mobile, and firm subcutaneous nodules approximately 0.5 to 1 cm in diameter were palpable in the limbs. Her face was not dysmorphic. On admission, her fundi were normal, but at follow-up examinations, hypopigmented retinal lesions were observed. Moderate subcostal retractions were present, and a grade 2/6 murmur was audible along the left sternal border. Her liver was palpable 3 to 4 cm below the right costal margin and was firm and nodular. The spleen also was moderately enlarged and firm. The infant appeared neurologically


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





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.
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


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

Sign In to Access Full Content

Related Content

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