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Picture of the Month—Quiz Case
Sabrina J. Braham, BA;
Amy E. Gilliam, MD
Author Affiliations: University of California, Davis, School of Medicine, Davis (Ms Braham); and Department of Dermatology and Pediatrics, University of California, San Francisco (Dr Gilliam).
Arch Pediatr Adolesc Med. 2006;160:645.
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A 4-year-old black girl presented to the pediatric dermatology clinic for evaluation of a growth on the right foot, first noted in "early childhood." Examination of the right heel revealed a well-circumscribed 3 x 5–mm white keratotic papule surrounded by a collarette of firm tissue with interruption of skin lines (Figure 1).
Figure appears in full text version.
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Figure 1. Well-circumscribed white keratotic papule on the right heel of a 4-year-old girl.
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The lesion was assumed by the parents to be a wart and was treated with a topical salicylic acid preparation with complete resolution and subsequent recurrence within 1 month. The patient reported focal tenderness to pressure and discomfort while wearing shoes.
The child was born weighing 2090 g at 34 weeks’ gestation by an otherwise uncomplicated vaginal delivery. Apgar scores were 8 and 9, and although the initial physical examination results were normal, the . . . [Full Text of this Article]
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Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2006;160(6):646.
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