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Picture of the Month—Quiz Case
Jonathan M. Gaffin, MD;
Patrick G. Gallagher, MD
Arch Pediatr Adolesc Med. 2007;161(11):1102.
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A male neonate was born at 37 weeks' gestation to a 21-year-old African American woman following a pregnancy complicated by a flu-like illness 3 weeks prior to delivery. Maternal prenatal laboratory evaluation revealed an O-negative blood type, negative serological results for hepatitis B, syphilis, and human immunodeficiency virus, and immunity to rubella.
On examination, the infant's weight, height, and head circumference were at the fifth percentile for gestational age. Skin examination revealed violaceous maculopapular lesions and petechiae over the face (Figure 1), trunk (Figure 2), and extremities. Physical examination was also notable for bilateral conjunctival hemorrhages and palpable hepatosplenomegaly.
Figure appears in full text version.
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Figure 1. Violaceous macules and papules involving the face and trunk.
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Figure appears in full text version.
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Figure 2. Similar violaceous macules and papules observed on the trunk, buttocks, and leg.
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Laboratory investigation showed a hematocrit of 40% (reference range, 41%-65%), a platelet count of . . . [Full Text of this Article]
Author Affiliations: Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut.
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