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  Vol. 153 No. 2, February 1999 TABLE OF CONTENTS
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Picture of the Month

Christine A. Papa, DO; Michele S. Maroon, MD; Christopher C. Clark, DO
From the Departments of Dermatology (Drs Papa and Maroon) and Family Medicine (Dr Clark), Penn State Geisinger Health System-Geisinger Medical Center, Danville, Pa.

Arch Pediatr Adolesc Med. 1999;153:201-202.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A HEALTHY, 9-year-old boy from rural Pennsylvania had a 2-month history of tender, well-demarcated, erythematous plaques studded with pustules on his neck, back, and chest (Figure 1). Prior to referral, he had not responded to multiple medications, including topical steroid creams, clotrimazole/betamethasone diproprionate and mometasone furoate, and oral antibiotics, erythromycin ethylsuccinate and cephalexin.


Figure.


Denouement and Discussion: Trichophyton verrucosum Tinea Corporis

Figure 1. Confluent (left) and discrete (right) erythematous annular plaques are studded with pustules. The potassium hydroxide preparation was positive for fungal elements; the fungal culture was positive for organisms.

Tinea corporis, a common infection in children, may be caused by any member of the Trichophyton, Microsporum, and Epidermophyton genera. Microsporum canis, Trichophytron mentagrophytes, and Trichophytron rubrum are most commonly isolated by culture. These dermatophytes may be geophilic, referring to organisms that reside primarily in soil; . . . [Full Text of this Article]







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