Pseudoxanthoma elasticum This is a generalized condition in which elastic fibers are degenerative. Clinical signs of the phenomenon can be recognized in.

Slides:

Advertisements

Similar presentations

Erythematous maculopapular and urticarial edematous plaques are seen on the thighs (A). (B) in a patient 2 weeks after receiving Bactrim. Fever, arthralgia,

Advertisements

The presence of ecchymoses or scars on the lower back or buttocks is almost always the result of physical abuse. Slap marks, human bites, and lash marks.

Papulopustular rosacea (stage II)

Automatisms with preserved responsiveness were observed exclusively during seizures arising from the right nondominant temporal lobe. They were not observed.

Acute irritant contact dermatitis on the hand due to an industrial solvent There is massive blistering on the palm. Source: Eczema/Dermatitis, Fitzpatrick's.

Kawasaki disease Cherry-red lips with hemorrhagic fissures, in a little boy with prolonged high fever. This child also had a generalized morbilliform eruption,

Cupping This method has been used in traditional Chinese medicine and a wide variety of other medical traditions since 3000 BC. A vacuum is created in.

The most common cause of impetigo is Staphylococcus aureus

Basal cell nevus syndrome with multiple nevoid basal cell carcinomas on the face and neck of a young woman. This is a rare autosomal dominant condition.

A mild and inconsistent asymmetry of photic driving response is frequently seen in normal individuals. An asymmetry in photic driving response may result.

Pseudoverrucous papules and nodules This unique diaper dermatitis was originally described in the skin surrounding urostomies, but can occur as a result.

Perioral dermatitis Preferential location on the chin but also on the lower eyelids in a 64-year-old woman. At this age, differential diagnosis includes.

Molluscum contagiosum Occasionally, a lesion of molluscum contagiosum may grow to as large as 3 cm in diameter. Two photos of such “giant mollusca” are.

Nine patterns of inflammatory skin disease. (See also Table 8–1.)

Seborrheic dermatitis Seborrheic dermatitis, common during infancy, is relatively unusual during later childhood. It resurfaces as a problem during adolescence.

L. Iannetti, M. P Pirraglia, A. Abbouda, P. Tortorella, P

In this patient, the ground electrode was placed on the forehead and the low-impedance active electrode occurred in the occipital region. Therefore, the.

Coccidioidomycosis This disease, caused by the dimorphic fungus Coccidioides immitis, is endemic to the southwestern United States and parts of Central.

Allergic contact dermatitis (shoes) The allergic contact dermatitis Fig was caused by a sandal. Note how the eruption conforms, like a patch test,

The exact pathogenesis of atopic dermatitis remains a mystery

Herpes zoster A 67-year old Chinese female with dermatomal zoster in L-mandibular branch of the trigeminal nerve. Bullae, vesicle, and erosions are seen.

Abnormal EEGs were found in 43–75% of autistic children and 82% of their EEGs; 46% had clinical seizures. Nearly all children with seizures had epileptiform.

Vitiligo repigmentation A follicular pattern of repigmentation due to PUVA therapy occurring in a large vitiliginous macule on the lower abdomen. By confluence.

In this case of tinea incognito, the patient applied a topical corticosteroid, previously prescribed for atopic dermatitis, to an undiagnosed ringworm.

Atopic dermatitis Figures 9-14 and 9-15 illustrate skin that is scaly and lichenified. The treatment of atopic dermatitis should include the establishment.

Epilepsy is an important predictor of poor intellectual outcome in the children with hydrocephalus with shunts. Epilepsy was significantly affected by.

Hydroa vacciniforme-like cutaneous T-cell lymphoma (CTCL) These patients often have severe insect bite hypersensitivity. The lesions pictured in Fig

Varicose veins A. There are meandering and convoluted irregular varicose veins on the thigh of a 70-year-old man who also had lipodermatosclerosis and.

An adolescent with a peripherally inserted central venous catheter (PICC line) in the right upper extremity. Source: Pediatric Acute-Care Hospital, Meeting.

Autoimmune disease, such as autoimmune thyroiditis, and malignancy are extremely rare causes. In the child with chronic urticaria, it is often difficult.

Transverse color Doppler sonogram of testicular torsion demonstrates normal flow to the right testis and absence of flow to the ischemic left testis (arrow).

Superficial spreading melanoma on the neck demonstrates many traditional ABCDE features of melanoma. (Used with permission from Richard P. Usatine, MD.)

Acrodermatitis enteropathica Figure 13-3 shows a highly characteristic picture of the cutaneous changes of acrodermatitis enteropathica around the anus,

Folliculitis, shown in Fig

Child abuse The physical abuse of children accounts for many deaths each year in the United States. Physicians who care for children must acquaint themselves.

Bilateral cellulitis of legs: V

Uncombable hair syndrome This syndrome presents during infancy or childhood with “spun glass” hair. The hair is blond, grows slowly, and is extremely difficult.

In this patient, the ground electrode was placed on the forehead and the low-impedance active electrode occurred in the occipital region. Therefore, the.

Superficial spreading melanoma: arising within a dysplastic nevus The entire lesion originally was maculopapular and had the brown color still seen on.

Patients presenting with clinical features compatible with MAE but with seizure semiology consistent with focal seizure or focal abnormality seen in the.

Photic driving responses in children <6 years are relatively small

As seen in this toddler, most patients present with a history of a brief febrile seizure without any postictal neurologic deficits (the overwhelming majority.

Hair growth cycle Diagrammatic representation of the changes that occur to the follicle and hair shaft during the hair growth cycle. A. Anagen (growth.

In some patients, the occurrence of fungal infection in locations such as the ear may make it difficult to appreciate the ring morphology of the lesion,

(Reproduced with permission from Afifi AK, Bergman RA

Chancriform pyoderma Infection with a Staphylococcus, or more often with organisms such as Pseudomonas aeruginosa or Proteus and combinations thereof,

Tularemia: primary lesion and regional adenopathy A crusted ulcer at the site of inoculation is seen on the dorsum of the left ring finger with associated.

Intense erythema, eyelid edema, and tenderness due to maxillary sinusitis in an adolescent who had normal vision, full range of eye movements without pain,

Cat-scratch disease This disease is characterized by the appearance of a papule or pustule at the site of a scratch from a cat. Within several weeks, enlarged.

Lesions can be treated effectively with topical corticosteroids, but the only cure results from strict avoidance of nickel. This is easier said than done.

Prostate cancer. Classically, prostate cancer is described as hypoechoic nodules in the peripheral zone as seen here. In reality, prostate cancer is often.

Juvenile rheumatoid arthritis Faint erythematous, urticarial plaques on the torso of a child. Source: Section 17. Autoimmune Connective Tissue Diseases,

Cutis marmorata This term means “marbled skin” and is intended to describe the appearance of the skin in which the terminal vessels are so superficial.

Usually, scalp-recorded ictal DC shifts are not successfully recorded because movements during clinical seizures could cause artifacts. They are highly.

This infant developed typical arcuate lesions on the face

Secondarily generalized discharges are a common occurrence with frontal lobe epilepsy. The EEG findings that suggest secondary bilateral synchrony include.

Testing the first MTP joint motion. (From Dutton M

Tinea pedis Superficial fungal infection of the feet is somewhat unique because of the location. Between the toes (most commonly the fourth and fifth),

Cutaneous effects of Pseudomonas sepsis Sepsis caused by Ps aeruginosa occurs most commonly in the child with an underlying illness. It is seen in children.

Vitiligo occurs commonly around the eye. A

This may lead to diarrhea and malabsorption, or it may be evidenced only by villous atrophy on jejunal biopsy. The approaches to treatment of this disease.

Miliaria crystallina The lesions in this condition are small, clear, thin-roofed vesicles that develop when the sweat duct is obstructed within the stratum.

In fact, the concentration of PPD in black henna is higher than that seen in commercial hair dyes. After resolution of the eczematous skin eruption, postinflammatory.

Spina bifida occulta. The arrows point to a swelling above the buttocks. (From Waxman SG. Clinical Neuroanatomy. 26th ed.

The presence of a patch of hypertrichosis overlying the mid-lower back (“faun tail nevus”) may signal the presence of spina bifida occulta, diastematomyelia,

In most parts of the United States and in many other parts of the world, T tonsurans is now the predominant organism causing tinea capitis. In the United.

In the study of 120 patients with defective alpha activity by mental arithmetic at Mayo Clinic, 32 patients had Bancaud phenomenon. Associated focal slowing.

Pseudoxanthoma elasticum

Insights into Pathomechanisms and Treatment Development in Heritable Ectopic Mineralization Disorders: Summary of the PXE International Biennial Research.

Presentation transcript:

Pseudoxanthoma elasticum This is a generalized condition in which elastic fibers are degenerative. Clinical signs of the phenomenon can be recognized in the skin and eyes. In the skin, patches of yellowish discoloration and general laxness or redundancy develop on the neck (“chicken skin”), in the axillae, and in other places, such as the fossae of limbs and the inguinal folds, where considerable movement of skin is normal. In the eye, angioid streaks can be seen. They represent the result of faulty elastic fibers in Bruch membrane and generally precede the cutaneous changes. These eye changes frequently result in the loss of central vision and sometimes result in almost complete blindness. Peripheral vision is maintained. Source: Genodermatoses, Weinberg's Color Atlas of Pediatric Dermatology, 5e Citation: Prose NS, Kristal L. Weinberg's Color Atlas of Pediatric Dermatology, 5e; 2017 Available at: https://accesspediatrics.mhmedical.com/DownloadImage.aspx?image=/data/books/1913/weinderm5_ch14_f001.png&sec=138562593&BookID=1913&ChapterSecID=138562591&imagename= Accessed: November 12, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved