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  Vol. 155 No. 2, February 2001 TABLE OF CONTENTS
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Picture of the Month

Hassib Narchi, MD; Marissa Santos, MD; Walter W. Tunnessen, Jr, MD
From Al-Hasa Specialty Services Division, Saudi Aramco Al-Hasa Health Center, Saudi Aramco Medical Services Organization, Mubarraz, Saudi Arabia. Dr Narchi is now with Sandwell General Hospital, Lyndon, West Bromwich, England.

Arch Pediatr Adolesc Med. 2001;155:191-192.

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

A 5-MONTH-OLD BOY had asymmetry of his lower extremities since birth. He was born at term, birth weight 3470 g, to a gravida 6 mother whose pregnancy was unremarkable. The parents were nonconsanguineous, and the family history was unremarkable for similar findings. On physical examination, the left lower limb was 3 cm longer and the circumference larger than that of the right side (Figure 1). An extensive nevus flammeus and livedo reticularis pattern was present on the trunk and extremities, more pronounced on the right side of the chest, with diffuse involvement of the face (Figure 2). A diffuse bluish discoloration was present over the back, the right lateral chest wall, and the lower extremities (Figure 3). Findings from the remainder of the examination were unremarkable.


Figure 1.


Figure 2.


Figure 3.


Diagnosis: Phakomatosis Pigmentovascularis

Figure . . . [Full Text of this Article]







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