TY  - JOUR
T1  - PIcture of the month—quiz case
AU  - Esteves I, Fernandes P, Marques J
Y1  - 2009/09/07
N1  - 10.1001/archpediatrics.2009.146-a
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 863
EP  - 863
VL  - 163
IS  - 9
N2  - 
A 13-year-old girl, born in São Tomé and Príncipe, a country off the western coast of Africa, presented to our hospital with an ulcerated cutaneous lesion measuring 6 × 4.5 cm below her chest (Figure, A). The ulcer was first noted 8 months earlier. She underwent surgical drainage and several courses of intravenous antibiotics, without improvement. In addition to the cutaneous ulcer, physical examination revealed mild kyphosis and mild lower extremity weakness, which prompted gait discoordination attributable to decreased strength, as there was no other evidence of ataxia in the neurologic examination.

SN  - 1072-4710
M3  - doi: 10.1001/archpediatrics.2009.146-a
UR  - http://dx.doi.org/10.1001/archpediatrics.2009.146-a
ER  -