paeds177

Which of the following conditions are associated with erythema migrans?

paeds168

A 17-month-old boy is brought by his mother to the hospital. She is concerned that he is having symptoms of itching, being very upset and unsettled. They hail from a low socioeconomic background and have poor living conditions. On examination, an itchy, papular rash is noted on the palms of his hands specifically in the web spaces between the fingers, as well as in the groin region. He was normothermic. The mother explains that his sister also has similar symptoms.What is the most probable cause of the patient’s symptoms?

paeds169

A 15-year-old girl presented with generalised excessive hair growth, especially on her limbs. Which one of the following is the most likely cause for her symptoms?

paeds170

A 16-month-old girl with eczema is on the following treatment regimen: Oilatum in baths; Baby’ shampoo and soap and E45 cream to affected areas four times daily. Additionally, the mother uses ‘non-biological’ washing powder.The child often scratches the affected areas, sometimes even in her sleep. On examination, her skin is erythematous, excoriated, and lichenified over the knees, thighs, and flexor surfaces of the elbows.Which of the following would be the most appropriate next step in the management of this child?

paeds171

A 10-year-old boy presented to the ophthalmology clinic with a painless swelling on the superotemporal aspect of his orbit. It was smooth on examination and produced no visual disturbances. Following excision, it was found to be lined by squamous epithelium and hair follicles.Which lesion is most probably associated with these findings?

paeds172

A 12-year-old girl presents with a day’s history of urticarial rash.While addressing the parents’ query on the cause of the rash, what would be the most appropriate statement?

paeds164

A 7-month-old baby appears to have experienced a fit. The parents noticed jerking of one arm followed by generalised shaking. A flat erythematous lesion under the right lower eyelid, which has not changed in size or appearance, has been present since birth.What is the most likely diagnosis?

paeds165

A 5-month-old baby is referred with a recurrent itchy eruption affecting his trunk and soles. Examination shows diffuse eczema on the trunk and pink-red papules on both soles.Which of the following is the most likely diagnosis?

paeds166

A 16-year-old girl presents with moderate acne and pustules affecting the face, back and chest.What is the most appropriate treatment?