Contemporary Pediatrics Cases

Hypertension in an infant girlA previously healthy 8-month-old girl presented to the emergency department with fever and increased work of breathing. She was hospitalized for hypoxia attributed to community-acquired pneumonia, treated with ceftriaxone, and weaned to room air over several days. On the morning of planned discharge, she was noted to have had persistently elevated blood pressures for the past 12 hours.
Curious bald spot on a young girl's headThe mother of a 7-year-old girl brings her to the office for evaluation of eczema. On review of symptoms, she mentions concern about a bald spot above her daughter’s right ear, noticeable when she braids her hair.
Boy complains of acute onset twitchingAn 8-year-old boy presents to the emergency department (ED) with acute onset of twitching. The child began experiencing uncontrollable tics involving his bilateral upper extremities and shoulders 2 hours prior to presentation, with no associated loss of consciousness.
Is this red papule another hemangioma?The parents of a 3-year-old girl with a history of a slowly regressing infantile hemangioma on her right forehead were afraid that she was developing a new hemangioma near her right eye.
Toddler with spiking fevers and persistent rashA 1-year-old boy with a 2-week history of fever and rash arrived at the emergency department for the second day in a row.
Painful lesions target girl’s hands, feet, and mouthThe mother of a 16-year-old girl brings her to the office for evaluation of a painful rash on her hands and feet and oral ulcers that make it difficult to eat and drink.
Boy’s “mole” appears overnightAn anxious mother of a 10-year-old boy brings him to the office for evaluation of a new mole that appeared on his back in the last 24 hours. What is causing the rapidly developing pigmented lesion in this patient?
Infant girl in critical respiratory distressA healthy, 5-month old African American female presented to the emergency department (ED) with a 4-day history of cough, respiratory symptoms, high fever, poor oral intake, and abdominal distention.
Sudden onset galactorrhea in a teenaged girlA 15-year-old adolescent female with a history of anxiety disorder, currently being treated with sertraline and counseling for approximately 1 month, presented to the adolescent medicine clinic with sudden onset of galactorrhea.
A 12-year-old with a perplexing rashThe parents of a healthy 12-year-old boy bring him for a second opinion. He was diagnosed with pityriasis rosea 6 months ago, and new lesions, which are occasionally a little itchy, keep coming. What is causing these new lesions?