paeds166

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

paeds167

A 10-year-old girl was brought to the hospital following a seizure episode. On examination, hypopigmented macules were found on her abdomen with acne-like eruptions on her face. Also, her fingers show small periungual fibrous papules. Her parents said that she has learning disabilities. What is the most probable diagnosis?

paeds156

A 10-year-old girl presented with a sore throat for the past three days. She was taking ibuprofen and paracetamol over the counter for the pain. She was started on phenoxymethylpenicillin V following a diagnosis of tonsillitis.The next day she presents with a painful rash and feels unwell. On examination, she has extensive papular and plaque lesions. On palpation the papules desquamate. What is this sign called?

paeds157

An 8 month old baby boy presents with a fine, white and scaly rash that is more profound on the extensor surfaces of his arms and legs. It is also found on his trunk. However, the flexor surfaces, face and neck are spared. It has been present for 4 months. Which of the following is the most probable diagnosis?

paeds158

A new-born at term with no significant family history presents with absent skin on both feet to mid-calf. The most appropriate thing to do is to:

paeds159

A 10-year-old African girl undergoes an open appendicectomy. While being reviewed for an unrelated problem ten months later, the wound site was found to be covered by a shiny dark protuberant scar tissue that projects beyond the margins of the skin incision. Which of the following best describes this skin lesion?

paeds160

A boy with atopic eczema presents with a flare up. In which of the following situations would you suspect herpes simplex virus versus a bacterial infection?

paeds161

A 16-year-old girl presents with bruise-like painful lumps on her lower legs after a sore throat. Which of the following is expected in her case?

paeds162

A 7-week-old baby girl has a bright red, well-circumscribed and lobulated lesion developing on her right temple that wasn’t noted at birth, but is now 5 mm in diameter.What is the most appropriate management?

paeds154

A 5 year old girl presents with widespread, itchy, excoriated papules that appeared three months ago. They are symmetrically distributed and more profound on the extensor surfaces of the elbows and knees. The papules are present on the trunk as well but are less remarkable. She doesn’t have it anywhere else on her body and seems to be in a good health. The itchiness results in the girl to often scratching and popping the fluid-filled blisters that are present. There is no family history of atopy or other skin conditions. Which of the following is accurate?