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Horner’s Syndrome as Complication of Extracorporeal Membrane Oxygenation in a Neonate
February 2012 (Vol. 160 | No. 2 | Pages 349-349.e1)
Partha S. Ghosh, Shalaka Indulkar
A term-born baby girl had a perinatal course complicated by meconium aspiration syndrome, pulmonary hemorrhage, and shock. She was placed on extracorporeal membrane oxygenation (ECMO) on day of life 3...
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A Rare Cause of Ear Pain in a Young Boy
February 2012 (Vol. 160 | No. 2 | Page 350)
Alyce M. Oliver, Elizabeth M. Simpson, Rita S. Jerath
A 7-year-old boy presented with a 3-month history of persistent left auricular swelling and pain. He had been previously treated with several rounds of antibiotics with minimal improvement. Subsequent...
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Scapular Winging
January 2012 (Vol. 160 | No. 1 | Pages 169-170.e1)
Partha S. Ghosh, Gary E. Hsich
A 17-year-old boy came to the pediatric neurology clinic with right shoulder pain and “collar bone sticking out” for 2 months. His pain would radiate to the right upper arm and back, and he had diffic...
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Plantar Pigmented Lesion: Should This Be Excised?
December 2011 (Vol. 159 | No. 6 | Page 1047)
Husein Husein-ElAhmed, Maria Antionia Fernandez-Pugnaire
A 7-year-old boy had a pigmented lesion on the right sole. The lesion, which was neither tender nor pruritic, was present at birth and increased in size progressively. According to the clinical and de...
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Positive Nikolsky Sign due to Staphylococcal Scaled Skin Syndrome
November 2011 (Vol. 159 | No. 5 | Page 868)
Rafik Bourayou, Nolwenn Le Sache, Isabelle Kone-Paut
A 16-month-old previously healthy girl was admitted for acute onset of a tender, diffuse, erythematous, and exfoliating rash that was began on the neck and axilla and then spread to the face, trunk, g...
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Chronic Leg Ulceration as the Presenting Feature of Diffuse Systemic Sclerosis in Childhood
October 2011 (Vol. 159 | No. 4 | Page 698)
Dawn M. Wahezi, Norman T. Ilowite, Kathleen M. Kenney-Riley, Peter F. Belamarich
A 15-year-old girl presented with a 3-year history of persistent bilateral leg ulcers. She described episodes of the Raynaud phenomenon, with severe pain, numbness, and cyanosis in her fingers and toe...
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Hemihypertrophy Associated with Hemimegalencephaly in a Newborn
July 2011 (Vol. 159 | No. 1 | Pages 160-161)
Lalitha Sivaswamy, Danielle Anstett
A 2-day-old female patient was seen shortly after birth for seizures involving her left face and left side of her body. Notable findings on examination included macrocephaly, enlarged right lower face...
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Extensive Limb Swelling after Vaccination
June 2011 (Vol. 158 | No. 6 | Page 1033)
Benedikt M. Huber, Philippe Goetschel
Vaccination is one of the most successful public health issues in the history of medicine. Although rare, complications after vaccination occur. The knowledge of possible side effects is crucial to al...
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Calcaneal Conundrums
May 2011 (Vol. 158 | No. 5 | Page 855)
Adam C. Byrd, William D. North, William H. Sorey
An 11-month-old female was referred for evaluation of “knots on feet” since birth. The child had no pain, yet her mother was concerned that the lesions might affect her daughter’s ability to walk. Pas...
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Urethral Prolapse: An Overlooked Diagnosis of Urogenital Bleeding in Pre-Menarcheal Girls
April 2011 (Vol. 158 | No. 4 | Pages 682-683)
Aaron Vunda, Lynda Vandertuin, Alain Gervaix
A healthy 2-1/2 year-old girl presented to the emergency department with genital bleeding, which began that morning. Her history revealed no trauma, no fever, and no dysuria. The parents were concerne...
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Talar Callosity in Children—What, Who, Why?
February 2011 (Vol. 158 | No. 2 | Page 340)
Kevin Boon Leong Lim, Dingrin Khawn Tawng, Elvin Salioc Lokino, Rakesh Raveendran, Guan Tzu Tay
The talar callosity is a relatively uncommon ankle lump in children. Although asymptomatic and entirely “benign,” it is a major cause of parental concern. Clinically, the talar callosity refers to an ...
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Sacrococcygeal Teratoma Presenting as Perineal and Periumbilical Discoloration (Cullen Sign)
December 2010 (Vol. 157 | No. 6 | Page 1041)
Liz D. Dancel, Michael W.L. Gauderer, Jonathan E. Markowitz
A 15-month-old Caucasian boy had a several-month history of perineal and scrotal bruising. The bruised area was sharply demarcated, occurring to the left without crossing the midline (). It was indura...
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Retinoblastoma Presenting as Strabismus and Leukocoria
November 2010 (Vol. 157 | No. 5 | Page 858)
Isabella T. Phan, Tim Stout
A 22-month-old otherwise healthy girl presented for evaluation of an inturned left eye of 3 months duration. She had been followed approximately every 6 months via red-reflex evaluation by her pediatr...
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New section—Rediscovering the Physical Exam
October 2010 (Vol. 157 | No. 4 | Page A1)
William F. Balistreri, Monica L. Helton
Beginning with this issue, The Journal will publish “typical” physical examination features—both normal findings as well as classic features of diseases. This new section, “Rediscovering the Physical ...
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Differentiating a Mendosal Suture from a Skull Fracture
October 2010 (Vol. 157 | No. 4 | Page 691)
Aaron J. Miller, Ung Kim, Elaine Carrasco
A 6-day-old infant was brought to her pediatrician with a right clavicle fracture. This injury could have happened at birth; however, the history provided by her mother was concerning enough that a sk...