 |
|
Picture of the Month—Quiz Case
Jon M. Burnham, MD;
Portia A. Kreiger, MD;
Michele Paessler, DO;
Leslie S. Kersun, MD;
Randy Q. Cron, MD, PhD
Author Affiliations: Divisions of Rheumatology (Drs Burnham and Cron) and Oncology (Dr Kersun), Department of Pediatrics, and Department of Anatomic Pathology (Drs Kreiger and Paessler), Children's Hospital of Philadelphia, Philadelphia, Pa.
Arch Pediatr Adolesc Med. 2006;160:1177.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
An 11-year-old boy developed a generalized erythematous macular rash 5 weeks prior to hospitalization. The rash resolved in 3 weeks but he then developed fevers and a sore on his inner left arm (Figure 1). The lesion was painful and red. One week prior to hospital admission, a complete blood cell count revealed a low white blood cell count of 3.6 x 103/µL with a normal hemoglobin concentration and platelet count. A sore throat was present and he complained of oral ulcers.
Figure appears in full text version.
|
|
|
|
Figure 1. Painful, indurated left upper arm eschar with surrounding erythema.
|
|
|
On hospital admission, he was ill appearing and febrile (40°C), with marked oral ulceration. In addition to an eschar measuring 1.5 cm on his left upper arm with underlying induration (Figure 1), . . . [Full Text of this Article]
RELATED ARTICLE
Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2006;160(11):1178-1179.
EXTRACT
| FULL TEXT
|
