Cutaneous manifestation of internal diseases in infants and children

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Cutaneous manifestation of internal diseases in infants and children Marcia Ramos-E-Silva, MD, PhD, Flavia Haikal Tanus, MD, Tania Ferreira Cestari, MD, PhD Clinics in Dermatology Volume 20, Issue 1, Pages 51-66 (January 2002) DOI: 10.1016/S0738-081X(01)00229-2

Figure 1 Morphea—hypochromic patch with atrophy on the face. Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 2 Morphea—hypochromic patch showing hard consistency, with atrophy of the subcutaneous tissues on the arm. Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 3 Scleroderma en coup de sabre on the face. Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 4 Parry-Romberg syndrome—considered a severe form of linear scleroderma. (same patient as in Fig 4) Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 5 Parry-Romberg syndrome—paramedian atrophy without induration involving the mandible and tongue. (same patient as in Fig 3) Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 6 Dermatomyositis—telangiectatic papules over the interphalangeal joints (Gottron’s papules). Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 7 Discoid lupus erythematosus: erythematous plaques with adherent scales, telangiectasia, depigmentation, and areas of atrophy on the face. (Courtesy of Gabriela Lowy, MD) Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 8 Systemic lupus erythematosus: Raynaud’s phenomenon. Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 9 Kwashiorkor—slightly elevated surface and velvet aspect of the lesions, with a pellagrous aspect. It is usually more visible in dark-skinned individuals. (same patient as in Fig 10) Figure 10 Kwashiorkor—close view of the affected area. (same patient as in Fig 9) Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 9 Kwashiorkor—slightly elevated surface and velvet aspect of the lesions, with a pellagrous aspect. It is usually more visible in dark-skinned individuals. (same patient as in Fig 10) Figure 10 Kwashiorkor—close view of the affected area. (same patient as in Fig 9) Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 10 Kwashiorkor—close view of the affected area. (same patient as in Fig 9) Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 11 Acrodermatitis enteropathica—eczematous erosions and desquamation with a psoriasiform aspect, especially on the face and anogenital area. (Courtesy of Gabriela Lowy, MD) Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 12 Lipoido proteinosis: hyperkeratotic, verrucous papules of yellowish-white color, and varioliform scars on the hands. (From the collection of João Ramos-e-Silva, MD) Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 13 Cushing’s syndrome and hirsutism due to iatrogenic cause—exogenous administration of systemic high-potency steroids. (Courtesy of Gabriela Lowy, MD) Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)

Figure 14 Cushing’s syndrome caused by systemic steroids. Clinics in Dermatology 2002 20, 51-66DOI: (10.1016/S0738-081X(01)00229-2)