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Special Feature
Nov 2011

Picture of the Month—Quiz Case

Author Affiliations
 

SECTION EDITOR: SAMIR S. SHAH, MD, MSCE

Author Affiliations: Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Florida.

Arch Pediatr Adolesc Med. 2011;165(11):1041. doi:10.1001/archpediatrics.2011.175-a

A 5-year-old girl presented to our clinic complaining of a 6-month history of dermatitis that started on her knees and elbows and spread to her face. The skin lesions have been worsening and have not responded to topical emollients and corticosteroids (Figures 1, 2, and 3). The mother reported that the girl has low energy. Test results from past medical examinations were within the normal limits.

Figure 1. Pink papules and plaques over the extensor surface of the metacarpophalangeal and interphalangeal joints of a 5-year-old girl who presented to our clinic complaining of a 6-month history of dermatitis.

Figure 1. Pink papules and plaques over the extensor surface of the metacarpophalangeal and interphalangeal joints of a 5-year-old girl who presented to our clinic complaining of a 6-month history of dermatitis.

Figure 2. Erythematous lichenified plaques on the elbow of a 5-year-old girl who presented to our clinic complaining of a 6-month history of dermatitis.

Figure 2. Erythematous lichenified plaques on the elbow of a 5-year-old girl who presented to our clinic complaining of a 6-month history of dermatitis.

Figure 3. Dermoscopy of the proximal nailfold. A, Homogeneously distributed capillaries around the nail fold are shown in a healthy person (long arrows). B, Enlarged/giant capillaries (thin arrows) and loss of capillaries (thick arrow) are findings associated with this condition.

Figure 3. Dermoscopy of the proximal nailfold. A, Homogeneously distributed capillaries around the nail fold are shown in a healthy person (long arrows). B, Enlarged/giant capillaries (thin arrows) and loss of capillaries (thick arrow) are findings associated with this condition.

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