Pediatric dermatology

Question 1

Infant ( i think was 4 months old ) with hemangioma in upper eyelid of left eye covering his eye, when to do the surgery ?

A. Immediately

B. 1 month

C. 3 month

D. 6 month

Answer 1

Answer: a

Infantile hemangiomas are benign vascular neoplasms that have a characteristic clinical course marked by early proliferation and followed by spontaneous involution. Hemangiomas are the most common tumors of infancy and usually are medically insignificant .

Question 2

Infant with maculopapular rash over his face with purple discoloration, what is the causative organism:

A. GBS

B. Strept. Pneumonia

C. -staph.aureus

Answer 2

Answer :??

Question 3

Baby with greasy looking rash on face

Answer 3

Answer: Seborrheic dermatitis

Question 4

Infant suffer from groin rash that spare folds?

Answer 4

Answer:?

Irritant diaper dermatitis: Shiny, red macules/patches, no flexural involvement

Question 5

(long scenario) baby with cavernous hemangioma and have pleural effusion. ( he have other findings ). What you will find in this baby?

Answer 5

Pulmonary hemangioma

Question 6

treatment of choice for kawasaki?

Answer 6

Answer: the recommended initial therapy include

intravenous immune globulin (IVIG; 2 g/kg) administered as a single infusion over 8 to 12 hours and aspirin (initial dose of 30 to 50 mg/kg daily divided into four doses).

IVIG : to reduce risk of coronary artery aneurysm

Aspirin : reduce risk of thrombosis

Kawasaki at risk of coronary arteries aneurysm within the first week of illness in about one third of affected children

Question 7

2 month boy present with 2 cm of hemangioma in the back .. Wt is the ttt?

A. close f/u

B. excision

C. b blocker

Answer 7

Answer: A

The vast majority of infantile hemangioma do not require any medical or surgical intervention.

Treatment options for clinically significant hemangiomas include the following:

• Laser surgery • Surgical excision • Medication

Question 8

adolescent male with swollen parotid and salivary gland with dry eye and dry mouth, labs HLA, ANA and RF are positive which of the following is appropriate treatment?

A. Physostigmine

B. Artificial eye and saliva drops

Answer 8

Answer: B this is case of sjogren’s syndrome

Question 9

Pt with red points in palms and hands, buttocks, fever. Turned into vesicles

(not sure about this question)

Answer 9

Answer:

herpes simplex virus if the presentation were (Sore Throat Dysuria Vaginal Discharge Vesicles and Bullae Fever and Rash Lymphadenopathy), Primary illness lasts 10 to 20 days with recurrences in 50% to 80% of patients.

Or may be it is henoch-schonlein purpura if there is hx. Abdominal pain with Melana or hematemesis, ankle

Question 10

child wih oral and tonisllar ulcurs and vesicals, fever. Dx:

Answer 10

Answer : Herpangia✅

Herpangina is a pharyngeal infection typically caused by various enteroviruses. In recent years, coxsackievirus A16, enterovirus 71, and coxsackievirus B have been implicated most often. It is an acute febrile illness associated with small vesicular or ulcerative lesions on the posterior oropharyngeal structures (enanthem) .

Herpangina is one of many manifestations of enterovirus infection and can occur in association with enteroviral exanthem, aseptic meningitis, encephalitis, acute flaccid paralysis, and other clinical syndromes.