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Picture of the Month—Quiz Case
Marta Ferran, MD;
Gemma Martin-Ezquerra, MD;
Asunción Vicente, MD;
Antoni Noguera, PhD;
Laia Alsina, MD;
M. Antonia Gonzalez-Enseñat, MD
Arch Pediatr Adolesc Med. 2007;161(2):199.
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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 16-year-old boy with a medical history of mild developmental delay was evaluated for several asymptomatic lesions that appeared progressively on his palms and soles during the last month. There was no associated fever, malaise, lethargy, headache, or arthralgia.
Physical examination revealed several red papules with hyperkeratotic surfaces, 5 to 16 mm in diameter, located on both palms and soles without crossing the palmar creases (Figure 1). Some isolated lesions were noted on his wrists and ankles. Thorough examination revealed a subtle, nonpruritic, reddish macular eruption distributed symmetrically on his trunk and extremities (Figure 2). Superficial painless lesions on the penis were also noted, as well as annular erythematous papules on the lateral aspects of his tongue (Figure 3). There was no visceromegaly, but generalized, . . . [Full Text of this Article]
Author Affiliations: Departments of Dermatology (Drs Ferran, Martin-Ezquerra, Vicente, and Gonzalez-Enseñat) and Pediatrics (Drs Noguera and Alsina), Hospital Sant Joan de Déu, Barcelona, Spain.
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Arch Pediatr Adolesc Med. 2007;161(2):200.
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