Case 4: A Patterned Acute Skin Lesion on a Leg of a 17-month-old Boy
2018; American Academy of Pediatrics; Volume: 39; Issue: 3 Linguagem: Inglês
10.1542/pir.2016-0203
ISSN1529-7233
AutoresNancy D. Kellogg, Sarah Northrop, John Browning,
Tópico(s)Dupuytren's Contracture and Treatments
Resumo1. Nancy Kellogg, MD* 2. Sarah Northrop, MD* 3. John Browning, MD† 1. *Department of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX 2. †Department of Dermatology, Baylor College of Medicine, San Antonio, TX A 17-month-old previously healthy boy presents to the emergency department with an unexplained skin lesion on his right leg. The mother reports seeing the lesion a few hours ago when the child returned home from a 2-day visit with his father. She says the father noted the mark 2 days earlier, and asked her if the child was allergic to socks. The parents have been separated since the child’s birth and share custody of their son. The treating physician notes a “bright red lesion” on the right leg posteriorly that is “sharply marginated,” photographs the lesion (Fig), and documents the lesion as suspicious for “nonaccidental trauma with an electric cord.” A report is made to Child Protective Services. However, the child does not undergo evaluation for abuse. Figure. An erythematous, slightly raised lesion is seen on the posterior aspect of the right leg. A child abuse specialist sees the child 3 days later. The mother indicates that the child had stated that his father hit him. The mother states that her son at 2 months of age had a …
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