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Picture of the Month—Quiz Case FREE

Amanda Tauscher, MD; Joanna M. Burch, MD
[+] Author Affiliations

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


Arch Pediatr Adolesc Med. 2007;161(5):471. doi:10.1001/archpedi.161.5.471.
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An otherwise healthy 7-month-old infant boy presented for evaluation of a rash in a discrete area of skin on his right arm. His parents had noted a brown plaque at the site of the rash since birth. The plaque had grown in proportion to the patient's overall growth. The associated rash developed at approximately 4 months of age and was not apparently bothersome to the patient. On examination, there was a discrete 2.0 × 1.3–cm, oval, monotonous brown plaque on his right elbow with overlying scale crust and a surrounding rim of scale crust and subtle erythema (Figure 1). The remainder of the examination results were unremarkable.

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Figure 1.

Solitary brown plaque with associated scale crust involving the right elbow of a 7-month-old infant.

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Figure 1.

Solitary brown plaque with associated scale crust involving the right elbow of a 7-month-old infant.

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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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