Cases of Dermatology Diagnoses Not To Miss

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Table of Contents

A 6-Week-Old Boy with Annular Skin Lesions

Trinidad Hasbún, MD; and Sarah L. Chamlin, MD

An 8-Month-Old Boy with Purpuric Skin Lesions

Eric P. Sorensen, BS; Catalina Matiz, MD; and Sheila F. Friedlander, MD

A 6-Month-Old Boy with Persistent Pruritic Eruption

Lacey Kruse, MD; and Sarah L. Chamlin, MD

A 1-Year-Old Boy with Persistent, Generalized Eruption

Adnan Mir, MD, PhD; and Sarah L. Chamlin, MD

A 21-Day-Old Boy with an Annular Eruption

Adam Berry, BS; Gil Abramovici, MD; and Sarah L. Chamlin, MD

A 20-Day-Old Boy with a Blue Skin Lesion

Lori Asztalos, MD; Jayla Gray, BS; and Sarah L. Chamlin, MD 

An 8-Month-Old Girl with an Enlarging Lesion on Her Face

Jeave Reserva, MD; and Sarah L. Chamlin, MD

A 7-Week-Old Boy with Violaceous Patches and Skin Nodules

Adam Whittington, BA; and Brandi Kenner-Bell, MD

Sponsorship Statement:  This continuing medical education activity is jointly sponsored by Keck School of Medicine of USC and Pediatric Annals.

Support Statement: There is no commercial support for this activity.

Learning Objectives: 

1. Review the differential diagnosis for an annular eruption in a young infant.
2. Identify the clinical features of a non-involuting congenital hemangioma.
3. Identify the characteristic clinical findings in acute hemorrhagic edema of infancy.
4. Describe the approach to neonates with annular lesions, including differential diagnosis and evaluation.
5. Review the differential diagnosis for violaceous patches and nodules in infants.
6. Promptly and correctly identify the clinical presentation of Langerhans cell histiocytosis.
7. Discuss treatment of symptomatic urticaria pigmentosa and solitary mastocytomas.
8. Identify the differential diagnosis of juvenile xanthogranuloma.

Faculty names and affiliations: See Table of Contents

Reviewer names: Thomas J. Selva, MD, CME Director, Pediatric Annals; Stanford T. Shulman, Editor-in-chief, Pediatric Annals

Guest Editor:  Sarah L. Chamlin, MD

Disclosure statement: In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears at the beginning of each CME-accredited article in this issue and also on this page.

Faculty, reviewer and staff disclosures
Susan Donlevy, RN, MSN, CPNP, has disclosed no relevant financial relationships.
Deepak Kamat, MD, PhD, has disclosed no relevant financial relationships. 
Leonard R. Krilov, MD, PhD, has disclosed the following relevant financial relationships: Medimmune and Merck: Consultant; GlaxoSmithKline, Medimmune, and Novartis: Grant recipient; and GSK, Medimmune, and Merck: Member of speakers’ bureau..

Faculty members report the following financial relationships: 
Robert Listernick, MD, has disclosed no relevant financial relationships. 
Thomas J. Selva, MD, has disclosed no relevant financial relationships. 
Stanford T. Shulman, MD, has disclosed no relevant financial relationships.
Robert R. Tanz, MD, has disclosed no relevant financial relationships.

The staff of Keck School of Medicine of USC and Pediatric Annals have disclosed no relevant financial relationships.

Signed disclosures are on file at Keck School of Medicine of USC.

Accreditation statement(s): 
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Keck School of Medicine of USC and Pediatric Annals. Keck School of Medicine of USC is accredited by the ACCME to provide continuing medical education for physicians.

Credit designation:  The Keck School of Medicine of USC designates this enduring material for a maximum of 3 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Release date: January 1, 2014.

Expiration Date: January 31, 2017.

How to participate:  To participate in this CME activity, you must read the learning objectives, answer the pretest questions, read the articles, complete the CME posttest, and complete the evaluation. Provide only one (1) correct answer for each question. A satisfactory score is defined as answering 70% of the posttest questions correctly. Upon receipt of the completed materials, if a satisfactory score on the posttest is achieved, Keck School of Medicine of USC will issue an AMA PRA Category 1 Credit(s)™ certificate.  

Target audience:  This CME activity is primarily targeted to pediatricians, osteopathic physicians, pediatric nurse practitioners, and others allied to the field. There are no specific background requirements for participants taking this activity. Learning objectives are found at the beginning of each CME article.

Unlabeled and Investigational Usage Statement:  The audience is advised that this continuing medical education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FDA for use in the United States. The faculty members have been made aware of their obligation to disclose such usage.

Copyright Statement: Copyright © 2014 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher.