Lissau's Photos

Question 1

Answer 1

Bullous impetigo in a 2-week-old baby

Question 2

Answer 2

Mongolian Blue Spot

Question 3

Answer 3

A child with oculocutaneous albinism, with her parents. The hair is silvery white.

Question 4

Answer 4

Severe, autosomal recessive form of epidermolysis bullosa. There is scarring following recurrent blistering.

Question 5

Answer 5

Collodion baby.

Question 6

Answer 6

Napkin rash due to Candida infection. The skin flexures are involved and there are satellite pustules visible.

Question 7

Answer 7

Infantile seborrhoeic dermatitis - Cradle cap

Question 8

Answer 8

Infantile seborrhoeic dermatitis - involvement of face, axillae, and napkin area.

Question 9

Answer 9

Atopic dermatitis. Inflamed skin worsened by rubbing/scratching. Itch is the key clinical feature in eczema at all ages, leading to an ‘itch–scratch–itch’ cycle.

Question 10

Answer 10

Atopic Eczema

Common on face, trunk and arms

Question 11

Answer 11

Lichenification.

Question 12

Answer 12

Infected, excoriated atopic eczema.

Question 13

Answer 13

Molluscum contagiosum. Some of the pearly lesions show characteristic umbilication

Question 14

Answer 14

Ringworm of the scalp showing hair loss and kerion

Question 15

Answer 15

Scabies in a young child affecting the palm.
Tinea

Question 16

Answer 16

Head lice. Profuse nits (egg capsules) are visible on scalp hairs. Live lice were visible on the scalp.

Question 17

Answer 17

Guttate psoriasis over the back in a 5-year-old

Question 18

Answer 18

Alopecia areata. Smooth well-defined patch of noninflamed hair fall.

Question 19

Answer 19

Granuloma annulare. Ringed lesion with a noninflamed, nonscaling raised edge

Question 20

Answer 20

Erythema nodosum. There are tender nodules over the legs. She also had fever and arthralgia

Question 21

Answer 21

Erythema multiforme. There are target lesions with a central papule surrounded by an erythematous ring. Lesions may also be vesicular or bullous.

Question 22

Answer 22

Stevens–Johnson syndrome showing severe conjunctivitis and ulceration of the mouth. (Courtesy of Rob Primhak.)

Question 23

Answer 23

The glass test for meningococcal purpura. Parents are advised to suspect meningococcal disease if their child is febrile and has a rash that does not blanch when pressed under a glass. (Courtesy of Parviz Habibi.)

Question 25

Answer 25

Bruising from finger trauma to a baby’s head

Question 26

Answer 26

a bite mark on an infant’s leg. Adult bite marks may be seen in abuse, but bites from other children are not uncommon.

Question 27

Answer 27

Erythema toxicum (neonatal urticaria) often has a raised pale centre

Question 28

Answer 28

Characteristic facies of fetal alcohol syndrome with: a saddle-shaped nose; maxillary hypoplasia; absent philtrum between the nose and upper lip; and short, thin upper lip. This child also has a strawberry naevus below the right nostril.

Question 29

Answer 29

Milia (Courtesy of Rodney Rivers.)

Question 30

Answer 30

Mongolian blue spot.

Question 31

Answer 31

Port-wine stain in an infant.

Question 32

Answer 32

Strawberry naevus

Question 33

Answer 33

Rash of meningococcal infection - the lesions may be extensive, when it is called purpura fulminans.

Question 34

Answer 34

Rash of meningococcal infection - Characteristic purpuric skin lesions, irregular in size and outline and with a necrotic centre

Question 35

Answer 35

Impetigo showing characteristic confluent honey-coloured cr)usted lesions. (Courtesy of Dr Paul Hutchins)

Question 36

Answer 36

Periorbital cellulitis. It should be treated promptly with intravenous antibiotics to prevent spread into the orbit

Question 37

Answer 37

Staphylococcal scalded skin syndrome. Its appearance must not be mistaken for a scald from nonaccidental injury.

Question 38

Answer 38

Clinical features and complications of chickenpox. (a) Vesicles ith surrounding erythema appearing in crops are characteristic of chickenpox.

Question 39

Answer 39

Herpes zoster (shingles) in a child. Distribution is along the S1 dermatome. (Courtesy of Dr Sam Walters.)

Question 40

Answer 40

Measles - Rash Spreads downwards, from behind the ears to the whole of the body. Discrete, maculopapular rash initially, becomes blotchy and confluent. May desquamate in the second week.