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Picture of the Month
Rajiv Kaddu, MD;
Erawati V. Bawle, MD;
Vasundhara Tolia, MD;
Walter W. Tunnessen, Jr, MD
From the Departments of Pediatrics (Drs Kaddu and Tolia) and Division
of Medical Genetics and Metabolic Disorders (Dr Bawle), Children's Hospital
of Michigan, Wayne State University, Detroit, and the American Board of Pediatrics,
Chapel Hill, NC (Dr Tunnessen).
Arch Pediatr Adolesc Med. 2001;155:87-88.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 2-YEAR-OLD CHILD had a 4-month history of rectal bleeding with the
passage of stool. His mother also had noted an asymptomatic, enlarging mass
on his anterior abdominal wall for the same period of time. His medical history
was notable for the transrectal removal of an intestinal polyp when the child
was 15 months old. A large head size had been noted since birth. His development
was delayed with motor and cognitive skills performance at 14 to 16 months
at age 24 months.
Prominent physical findings included macrocephaly, with a head circumference
of 56 cm (6 SD higher than the mean for age), occipital prominence, and 3
firm, subcutaneous, bony projections from the skull. Examination of the skin
revealed a 3-cm café au lait patch on the left leg, multiple pigmented
macules on the penis . . . [Full Text of this Article]
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