Lissau's Photos Flashcards
Bullous impetigo in a 2-week-old baby
Mongolian Blue Spot
A child with oculocutaneous albinism, with her parents. The hair is silvery white.
Severe, autosomal recessive form of epidermolysis bullosa. There is scarring following recurrent blistering.
Collodion baby.
Napkin rash due to Candida infection. The skin flexures are involved and there are satellite pustules visible.
Infantile seborrhoeic dermatitis - Cradle cap
Infantile seborrhoeic dermatitis - involvement of face, axillae, and napkin area.
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.
Atopic Eczema
Common on face, trunk and arms
Lichenification.
Infected, excoriated atopic eczema.
Molluscum contagiosum. Some of the pearly lesions show characteristic umbilication
Ringworm of the scalp showing hair loss and kerion
Scabies in a young child affecting the palm.
Tinea
Head lice. Profuse nits (egg capsules) are visible on scalp hairs. Live lice were visible on the scalp.
Guttate psoriasis over the back in a 5-year-old
Alopecia areata. Smooth well-defined patch of noninflamed hair fall.
Granuloma annulare. Ringed lesion with a noninflamed, nonscaling raised edge
Erythema nodosum. There are tender nodules over the legs. She also had fever and arthralgia
Erythema multiforme. There are target lesions with a central papule surrounded by an erythematous ring. Lesions may also be vesicular or bullous.
Stevens–Johnson syndrome showing severe conjunctivitis and ulceration of the mouth. (Courtesy of Rob Primhak.)
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.)
Bruising from finger trauma to a baby’s head
a bite mark on an infant’s leg. Adult bite marks may be seen in abuse, but bites from other children are not uncommon.
Erythema toxicum (neonatal urticaria) often has a raised pale centre
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.
Milia (Courtesy of Rodney Rivers.)
Mongolian blue spot.
Port-wine stain in an infant.
Strawberry naevus
Rash of meningococcal infection - the lesions may be extensive, when it is called purpura fulminans.
Rash of meningococcal infection - Characteristic purpuric skin lesions, irregular in size and outline and with a necrotic centre
Impetigo showing characteristic confluent honey-coloured cr)usted lesions. (Courtesy of Dr Paul Hutchins)
Periorbital cellulitis. It should be treated promptly with intravenous antibiotics to prevent spread into the orbit
Staphylococcal scalded skin syndrome. Its appearance must not be mistaken for a scald from nonaccidental injury.
Clinical features and complications of chickenpox. (a) Vesicles ith surrounding erythema appearing in crops are characteristic of chickenpox.
Herpes zoster (shingles) in a child. Distribution is along the S1 dermatome. (Courtesy of Dr Sam Walters.)
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.
