Contemporary Pediatrics Cases

Unremitting rash, neck masses complicate toddler’s diagnosisA 2-year-old boy presents to the emergency department with a persistent pruritic rash and a 4-week history of enlarging, tender, bilateral anterior and posterior cervical neck masses. The patient is eating and drinking normally, and he is able to breathe comfortably. He has not developed a hoarse voice, excessive drooling, or facial swelling. The family has no pets, history of foreign travel, or exposure to tuberculosis.
Posttraumatic lesion persists on child’s forearmA worried mother brings her 2-year-old boy to your office for evaluation of an asymptomatic skin eruption that has been present for 2 months. The lesion developed 6 months after he sustained an abrasion to the same site when he fell on concrete steps.