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Picture of the Month—Quiz Case FREE

Lisa Weibel, MD; Susannah Hoey, MBChB, MRCP; Samira Syed, MBBS, DCH(Lond), DCCH, RCPEd, RCGP, FCM; John I. Harper, MD, FRCP, FRCPCH; David Dunaway, FRCS(Plast), FDSRCS; Yassir Abou-Rayyah, MD
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Section Editor: Samir S. Shah, MD
Section Editor: Albert C. Yan, MD

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Arch Pediatr Adolesc Med. 2007;161(10):1001. doi:10.1001/archpedi.161.10.1001-a.
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A 10-week-old infant girl was referred to our hospital with a rapidly growing lesion involving the right orbit. The infant was twin B of nonidentical twins and born prematurely at 29 weeks' gestation. The lesion had been present at birth as a flat purplish mark and had started to increase in size from the age of 10 days. On examination, a large, soft periocular mass was observed and had been completely occluding the right eye from the age of 5 weeks (Figure 1 and Figure 2). The baby was otherwise well. A complete blood cell count and results of coagulation tests and a basic chemistry panel were all normal. Following further diagnostic investigations and therapeutic interventions, the infant required surgical treatment at the age of 17 weeks (Figure 3 and Figure 4).

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Figure 1.

Large periocular tumor causing complete occlusion of the right eye.

Grahic Jump Location

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Figure 2.

Presentation of the tumor in profile.

Grahic Jump Location

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Figure 3.

Excision of the major bulk of the tumor, measuring 4.5 × 3 × 2 cm.

Grahic Jump Location

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Figure 4.

Presentation at 10 weeks postsurgery.

Grahic Jump Location

Figures

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Figure 1.

Large periocular tumor causing complete occlusion of the right eye.

Grahic Jump Location
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Figure 2.

Presentation of the tumor in profile.

Grahic Jump Location
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Figure 3.

Excision of the major bulk of the tumor, measuring 4.5 × 3 × 2 cm.

Grahic Jump Location
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Figure 4.

Presentation at 10 weeks postsurgery.

Grahic Jump Location

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

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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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