Contemporary Pediatrics Cases

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?
Teenager battles daytime sleep attacksA 17-year-old-male presented to a specialty clinic for follow-up of attention-deficit/hyperactivity disorder (ADHD), migraine headaches, adjustment disorder with mixed disturbance of emotion and conduct, and mood disorder. At this visit, he reported excessive daytime sleepiness that was interfering with academic tasks and “life.”
Two-month-old boy with erythrodermaA healthy 2-month-old boy presents with a 4-day history of diaper dermatitis unresponsive to barrier creams. The infant has developed “red spots” that started on his cheeks, then spread to his trunk and diaper area. He is a bit fussy but feeding well.
Choking and cyanosis in an infant with sickle cell diseaseA 2-month-old African American girl who presented to the emergency department with 2 episodes of apnea or gasping respirations associated with feeds is admitted by your general inpatient pediatric service.
Puzzling pigmentation on a baby’s scalpA healthy 2-month-old girl presents for evaluation with a large pigmented plaque on her left cheek and scalp that her mother says she has had since birth.