College of Osteopathic Medicine Faculty Articles

Title

What Is Causing This 5-Year-Old’s Itchy, Scaly, Pink Plaques?

Publication Title

Consultant for Pediatricians

Volume

14

Issue

4

Publication Date / Copyright Date

4-1-2015

Abstract

What Is Causing This 5-Year-Old’s Itchy, Scaly, Pink Plaques? Rogerio Faillace, MD; Miguel Villacorta, BS; Fawn Winkelman, DO; and Elyse Julian, BS A 5-year-old girl presented with a 3-week history of multiple, discrete, pink, scaly plaques. The plaques were ovoid in shape, ranged from 0.5 to 3 cm in diameter, and were slightly raised, blanchable, and pruritic. The lesions were most appreciated over her right arm, where they coalesced into an erythematous, linear, raised plaque of 15 to 18 cm in length. Lesions also were appreciated over the scalp, arms, and legs bilaterally, as well as the torso, with greater involvement of the dorsal aspect. The parents denied any history of asthma or allergies in the girl, but noted that she had a history of eczema as an infant. Family history was negative for psoriasis. The lesions had begun on her right shoulder after an episode of pharyngitis and upper respiratory infection that had been treated conservatively. What do you suspect is causing these lesions? A. Guttate psoriasis B. Pityriasis rosea C. Inflammatory linear verrucous epidermal nevus D. Nummular eczema Are you ready to make the diagnosis? Visit PediatricsConsultant360.com/PhotoQuiz for the answer, then join the discussion, share your reaction, and test your clinical diagnostic acumen with more Photo Quiz articles. We’ll also print the outcome of this case presentation in next month’s issue of Consultant for Pediatricians. Rogerio Faillace, MD, is an assistant professor of pediatrics at Nova Southeastern University College of Osteopathic Medicine in Fort Lauderdale, Florida. Miguel Villacorta, BS, is a fourth-year medical student at Nova Southeastern University College of Osteopathic Medicine. Fawn Winkelman, DO, is a family physician on the faculty at Nova Southeastern University College of Osteopathic Medicine. Elyse Julian, BS, is a fourth-year medical student at Nova Southeastern University College of Osteopathic Medicine.

Disciplines

Medical Specialties | Medicine and Health Sciences | Osteopathic Medicine and Osteopathy

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rogerio/intellcont/What Is Causing This 5-Year Olds Itchy Scaly Pink Rash-1.doc

Conference material published in Proceedings

Pediatrics

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