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Casos clínicos  


Uñero congénito  
Niño de un año con hipertrofia para ungueal. Por lo general remiten sin ningún tratamiento. Dr. Javier Ferreyros

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Niño de 3 años con episodios recurrentes de insuficiencia respiratoria. NEJM. Vol. 356:398; 2007  
Paciente con episodios recurrentes de insuficiencis respiratoria, infiltrados pulmonares y anemia.

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Niño de 5 años con cefalea y dolor abdominal. NEJM. 355; 24; 2006  
Enfermedad de Degos.

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Niña de 3años con fiebre despues de visita al Africa. NEJM. 2006; 355:1715  
Caso grave de Malaria por Plasmodium Falciparum.

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Hígado verde a través del abdomen por colestasis.  
Secundario a una infusión de nutrición parenteral.

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A 3-Year-Old Girl with Fever after a Visit to Africa - NEJM - Oct. 19 - 2006  

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Niña con fascies típica, microcefalia, miembros proximales cortos y sindactilia cutanea del 2 y 3 dedo del pie.Ital. J. Pediatr. 2006; 32: 133  
Caso de sindrome de Smith-Lemli_Opitz.

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Caso de Neurorretinitis. Dr. Antonio Arrieta, Children's Hospital of Orange County  
Comentado por el Dr. Fernando Mendiola, Oftalmólogo Pediatra.

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Lipoblastomatosis del cuello. Appl. Radiol. 2006; 35(7)  
Niña de 9 años con 4 años de tumoración recurrente del cuello.

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Hematoma subungueal  
Truco para drenarlo sin causar miedo al niño

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Teratoma Cervical Teratoma. Indian Pediatr. 2006; 43:549  
Tumoración cervical anterior que produjo la muerte del neonato.

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Tumoración submandibular. Anal. Esp. Pediatr. Vol. 64,#5: 503; 2006  
Tumoración submaxilar izquierda que no responde a los antibioticos penicilinicos.

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Masa abdominal y eosinofilia en un niño de origen etíope. Anal. Esp. Peditr. Vol. 64, #4: 399; 2006  
Strongyloides stercoralis produciendo masa en pared abdominal.

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Extremidades cortas, polidactilia e hipoplasia de las uñas. Ital. J. pediatr. 2005; 31: 345  
Caso de Ellis-van Creveld syndrome.

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Infante de 1 mes de edad con neumonia redondeada multilobar. Pediar. Infect. Dis. J. 2006; 25(1):95  
Caso de enfermedad cronica granulomatosa a corta edad..

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Pulgares con tres falanges. Indian Pediatrics Dic 2005  

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Sindrome de piel escaldada por Estafilococo en un recién nacido. Arch Dis Child, Enero 2006  

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Hernia inguinal neonatal  
Indian Pediatrics, Octubre 2005

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Niña de 10 años con erupción bulosa e insuficiencia respiratoria aguda.NEJM 353;19,2005  
Caso de epidermo necrolisis toxica a carbamazepina.

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Erupción eritematosa con vesiculación lineal y eosinofilia al nacimiento. Ital.J.Pediatr. 2005; 31: 141  
Presentación de un caso de incontinentia pigmenti y descripción de la enfermedad.

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Staphylococcus aureus Sepsis and the Waterhouse–Friderichsen Syndrome in Children - NEJM Set 22, 2005  
Reporte de 3 casos de Sindrome de Waterhouse - Friderichsen asociado a Sthafilococo aureus

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Nevus Spilus. Indian Pediatrics, Agosto 2005  

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Niña de 2 años de edad con ascitis persistente. Medscape 3/08/2005  
Niña de 2 años con ascitisreferida para evaluación.

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Transposición penoescrotal. Indian Pediatrics, Julio 2005  

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Infante masculino de cuatro semanas de edad con ictericia y trombocitopenia. NEJM.2005; 353: 189  
Infante de cuatro semanas admitido a causa de ictericia, hiperbilirrubinemia, trombocitopenia y distención abdominal.

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TBC.Pediatricradiology.com  
Niña de 4 años expuesta a TBC activa con PPD positivo.

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Sindrome de Denys-Drash. Rev. Cubana Pediatr. 2005;77(1)  
El síndrome de Denys-Drash se caracteriza por pseudohemafroditismo masculino, tumor de Wilms y glomerulopatía con rápida progresión a la insuficiencia renal terminal.

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Eritema nodoso. Dr. Scope, Boletín No 43  

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Niña de nueve años de edad con cefaleas e hipertensión. NEJM. Vol.352: 2223; 2005  
Niña de 9 años que ingresa por cefaleas,enuresis,cambios visuales y vomitos.

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Cimex lectularius  
Porqué hablamos tanto de pulgas, piojos y mosquitos y no de este artrópodo causante de Urticaria?

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Caso clinico radiológico para diagnostico. Rev. Chil. Pediatr. 76(1); 73; 2005  
Paciente de 14 años, de sexo femenino, que consultó en el Servicio de Urgencia luego de presentar un episodio de hemorragia digestiva baja, caracterizado por melena, sin compromiso hemodinámico.

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Un caso de colelitiasis fetal. Rev. Mex. Pediatr. Vol. 72 #2; 2005.  
Colelitiasis diagnosticada en utero por ultrasonido, confirmada al nacer, que se resolvió expontaneamente.

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Masa abdominal en recien nacido. Rev. Chil. Pediatr. v. 75 # 6; 551, 2004  
Masa abdominal en flanco derecho durante el examen en un recien nacido de dos dias de edad

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Cuál es su diagnóstico? Colaboración de colega Nicaragüense: MIlton Danilo Mejía Castro  
Niña de 13 años, de Chinandega con problema alimentario.

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Niño de 10 años con dolor en el muslo derecho. NEJM. v. 352: 1122; 2005  
Niño de 10 años con historia de 6 meses de dolor en el muslo derecho.

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Adolecente de 14 años con insuficiencia hepática e hipotension  
Caso de shock toxico por infección por estreptococo en piel.

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Sindrome de Marshall. Indian Pediatrics, Feb 2005  
Marshall syndrome is an autosomal dominant chondrodysplasia characterised by mid-facial hypoplasia, sensorineural deafness and ocular defects (cataract, high myopia).

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Sindrome de Hallerman-Streiff. Indian Pediatrics, Feb 2005.  
A two-month-old female child presented with congenital teeth and sparse of hairs over face and scalp since birth.

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Fibroadenoma Juvenil de mama. BMJ.  

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Neuroendoscopía en el manejo de la Hidrocefalia. Journal of Neurological Sciences, Turquía.  
Interesantes procedimientos que se pueden realizar envés de la válvula.

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Fiebre de origen desconocido. Arch. Dis. Child. Edu. Pract. Edit. 2004; 89: 63  
Caso de fiebre de origen desconocido.

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Molusco contagioso. Dr. Scope Boletín No 22  
Lesiones papulares en niño de 5 años.

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Recien nacido con desplazamiento lateral del canto interno y mechon de pelo blanco. Ital. J Pediatr. 2004; 30: 272  
Caso de sindrome Waardenburg

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Cielo estrellado neurocisticercosis multiple. Arch. Dis. Child. Edu. Prac. Ed. 2004; 89:75  
Imagen de resonancia magnetica cerebral de neurocisticercosis multiple.

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Litobezoar  
Un niño de 6 años se presentó con un cuadro de dos días de dolor abdominal y estreñimiento.

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Valproato e hipertrofia de las encias, Indian Pediatr. 2004; 41: 1059  
A female child with generalized tonic clonic seizures, developmental delay and on valproate therapy for 3 years presented with progressive generalized gum enlargement. Child received valproate starting initially at dose of 20 mg/kg/day which was later increased to about 30 mg/kg/day. On examination there was massive gum hyper-trophy (Fig, 1) and global developmental delay. Valproate was hence omitted and replaced with carbamazepine, after which the gum hypertrophy stopped progressing.

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Onfalitis. The Lancet. Vol. 364: 1522, 23 oct. 2004  
A baby boy was brought to the hospital at 6 days of age with swelling and discharge from the umbilicus. We examined him, and found a febrile, irritable infant with extensive erythema, induration and tenderness around a black umbilicus (figure). We started broad spectrum antibiotics. A complete blood count showed neutrophilic leucocytosis and culture of the umbilical stump culture grew E coli, Enterococcus, and Bacteroides species which were sensitive to the antibiotics he received. 24 h later he developed generalised seizures and required ventilatory support. We excised the umbilicus and did a fasciotomy of the abdominal wall. However, the baby developed severe sepsis with hypotension and renal failure. Despite aggressive management with vasopressors and peritoneal dialysis, he died 2 days later.

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Malformación de Abernethy. NEJM, Oct 14, 2004  
Caso raro de un niño de 4 años con hipoxemia, pero bien discutido como todos los casos del NEJM.

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Eritrodermia y hepatitis. Anal. Esp. Pediatr. 1 octubre 2004. Vol. 61#4 p. 353  
Niña de 5 años con fiebre y exantema. En tratamiento con carbamazepina por epilepsia.

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Recién nacidos mellizos con trombocitopenia, defectos de coagulación y esplenomegalia. NEJM, Set 9, 2004  
de los casos de NEJM

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Linfadenitis por BCG.  
Becegeítis en bebe de 3 meses en Inglaterra.

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Lipodistrofia generalizada congénita. Jornal de Pediatría, Brasil.  
Reporte de 8 casos y revisión del tema.

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Sindrome de cabello inpeinable. American Ostheopatic College of Dermatology. Agosto 2004  
Cambios en el cabello desde los 7 meses.

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Anillo de Kayser-Fleischer  
Enfermedad de Wilson

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Borde circumpapilar retinal en Sindrome del bebe sacudido. NEJM, Julio 8, 2004  
Fondo de ojo patognomónico.

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Lupus Eritematoso Neonatal. Indian Pediatrics Mayo, 2004  
A male infant aged 3 months was brought with a maculopapular, erythematous rash with scaling at the edges distributed symmetrically over the malar region, forehead, chin and forearms (Fig. 1). Heart rate was 60/min. Rest of the clinical examination was normal. He was born to a mother with Systemic Lupus Erythematosus (SLE). ECG was suggestive of complete heart block. Complete blood counts and metabolic profile were normal. ANA and DsDNA were negative. A diagnosis of Neonatal Lupus Erythematosus (NLE) was made.

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Niño de 12 años con fatiga y eosinofilia. NEJM. Vol350:2604; 2004  
Nño de 12 años con fatiga y eosinofilia severa,inapetencia,dolores en brazos y piernas y dolor toraxico.

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Pupila dilatada por inhalador de Ipatropio+salbutamol. The Lancet, Junio 5, 2004  
Interesante posible efecto secundario del Combivent.

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Dermatitis periorificial con respuesta dramática al zinc.Arch.Dis.Child.2004;89:501  
Bebe de 6 meses de edad con lesiones periorificiales que respondierón a zinc po.

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Gangrena de Fournier.Ind.Pediatr.2004;41,511  
Caso de lesion ulcerada del escroto.

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Nódulos eritematosos y dolorosos en la planta del pie.  
Dermatology Grand Rounds del American Ostheopathic College of Dermatology.

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Síndrome de Kasabach Merritt. NEJM, Abril 22, 2004  
Recién nacida con lesión cutánea grande, trombocitopenia y anemia.

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Niño con brote, edema e hipertensión. NEJM.Vol350:1550;2004  
Niño de 12 años,hospitalizado a causa de hipertensión y edema con analisis de orina abnormal.

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Leucocoria. Indian Pediatrics Marzo 2004  
A 2-year-old female patient presented with complaint of gradual diminution of vision in the right eye for 3 months. It was associated with whitish discoloration of the pupillary region of the eye. There was no history of trauma, redness, swelling or discharge from the eyes. There was no past history of any fever or rashes. The family history was not significant. On clinical examination, the child could not perceive light in the right eye. The pupil in the right eye was dilated and not reacting to light. Fundus glow was absent on ophthalmoscopic examination. The child had leukocoria (while reflex) in the right eye (Fig. 1). A creamish white mass was seen filling almost the entire vitreous cavity behind the lens of the eye. The left eye was normal. The CT scan of orbits revealed the presence of an enlarged eyeball on the right side that harbored a solid mass in the posterior segment with multiple foci of calcification that was consistent with the diagnosis of retinoblastoma of the right eye.

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Quemadura por uso de vaporizador. BMJ Marzo 27, 2004  
Cuidado con el uso del vapor.

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Manchas de Fordyce. Contemporary Pediatrics.  
Joven de 16 años con "bultitos" amarillos en los labios.

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Wolf-Hirschhorn syndrome.Ital.J.Ped.Vo29#6,dic.2003  

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SIRENOMIELIA. Indian Pediatrics Feb 2004  

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Piercing en cartílago auricular: complicaciones con Pseudomona. JAMA, Feb 2004  
Complicaciones son más frecuentes en el cartílago que en el lóbulo.

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Linfedema congénito  
RN a término presentó edema de la pierna derecha.

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Neurocisticercosis.NEJM.Vol.350(3):266,2004  
A 15-year-old Peruvian girl who lived in the Andes mountains had a three-month history of headache, nausea, vomiting, and visual obscuration and a one-month history of incoherent speech, confusion, and visual and auditory hallucinations. On examination, she had bilateral papilledema, neck stiffness, and psychomotor retardation. Magnetic resonance imaging (MRI) of the brain revealed numerous diffusely distributed, cystic areas, which created a "Swiss cheese" appearance. On the T2-weighted scan (Panel A), the cysts were bright. On the T1-weighted scan (Panel B), numerous cysts were evident in the tongue, and intraventricular cysts (arrow) were also present. The cysts were dark, although after the administration of gadolinium, a few showed ring enhancement (Panel C). The FLAIR (fluid-attenuated inversion recovery) sequence showed an eccentrically positioned, punctate, bright signal within most of the cysts, each representing a scolex (Panel C, inset). A stool examination revealed ova of the pork tapeworm, Taenia solium. Western blot analysis was positive for cysticercosis. The serum white-cell count was normal, and the eosinophil count was 4 percent. The patient was treated for one month with albendazole (15 mg per kilogram of body weight per day) and prednisone (60 mg per day, with tapering of the dose at the end of the month). At a follow-up visit eight months later, the patient's recovery was found to be clinically complete, and MRI of the brain revealed resolution of the cysts.

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Neuritis óptica por "Arañazo de gato". NEJM, Enero 2004  
Patología poco común en una adolescente.

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Estreñimiento por ansiedad. El rol de psicología. ADC, Dic 2003.  
Se presenta un caso en que el tratamiento médico falló y el tratamiento multidisciplinario finalmente funcionó.

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Cefaleas en pediatría  
Un niño de 9 años de edad es referido por presentar hipertensión arterial de 140/100 mmHg en brazo derecho,hallazgo detectado por el enfermero del colegio durante una de sus crisis migrañosas. Este paciente ha presentado desde muy pequeño un soplo sistólico considerado como funcional por 2 cardiólogos durante evaluaciones cardiológicas para cirugía de hernia inguinal a los 8 años de edad y nuevamente hace 6 meses al extirparle las amígdalas y adenoides como posible causa de sus "migrañas". Nunca se le había tomado la presión arterial antes de la toma por el enfermero del colegio. Su hria. familiar señala migraña en la familia materna.

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Niño de 14 meses con distensión abdominal recurrente y diarreas. NEJM 25, Dic 2003  
A 14-month-old boy was admitted to the hospital because of recurrent abdominal distention, vomiting, and diarrhea.

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Diagnóstico visual  
Hemangiomatosis múltiple benigna.

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Enfisema subcutaneo  
Subcutaneous emphysema indicates a break in the integrity of the airway at some point between the pharynx and terminal bronchiole. Air trapped under the skin gives rise to a characteristic crackling sensation on palpation. Subcutaneous emphysema most commonly occurs as a result of pneumo-mediastinum or pneumothorax, but can also follow perforating injury to larynx or trachea. Sometimes it may be a complication of asthma or thoracocentesis. If the cases of the air leak is from respiratory system, no specific treatment is required and resolution occurs by resorp-tion of subcutaneous air. Rarely dangerous compression of trachea by air in the surrounding soft tissue requires surgical intervention.

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Sindrome de Cockayne. Indian Pediatrics.  
A 3½-year-old male child presented with history of developmental delay. On examination he was short statured (height 78 cm) and had microcephaly (head circumference 43 cm). There was an erythematous malar rash (photosensitive), prominent but low set ears, prognathism, maloccluded and carious teeth (Fig. 1). He was also mentally retarded. Ophthalmoscopic examination revealed bilateral optic atrophy with pigmentary retinal degeneration. Systemic examination was within normal limits. Based on these features a diagnosis of Cockaney’s syndrome was made.

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Neuroblastoma con ojos de mapache.NEJM.  
Para no olvidar.

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Lupus vulgaris (forma crónica de Tuberculosis Cutánea). Indian Pediatrics Set 2003.  
A 12-year-old boy presented with progressively increasing skin lesions for 4 years. On examination plaque like lesions with scaling and hyperkeratotic margins were present on face, earlobules, buttocks, left forearm and back of left lower leg. (Figs. I & II). There was history of measles and tuberculosis contact prior to illness. A positive montoux test (25 × 15 mm) supported the possibility of Lupus Vulgaris (LV). Skin biopsy confirmed the diagnosis. The lesions have shown improvement on anti-tubercular treatment.

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Larva migrans cutánea. Anales Españoles de Pediatría.  
Varón de 3 años de edad, que acudió a la consulta de dermatología por presentar en la región interna y dorso de pie izquierdo una lesión lineal serpenteante de color violáceo con intenso prurito. La lesión medía aproximadamente 3 cm y estaba sobreelevada, apreciándose la presencia de pápulas y vesiculoampollas alrededor

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Mordedura humana vs canina. NEJM, Set 11, 2003  
A six-year-old boy was admitted to the hospital with an acute abdomen. He had a rectal perforation and two groups of lesions on his right leg. Neither he nor his foster parents had an explanation for the perforation, but all three of them said the marks on his leg were from dog bites. Human bite marks (Panel A) are usually superficial abrasions or contusions. Humans have four incisors in each dental arch and short canines. The incisors leave rectangular marks, and the canines leave triangular marks. The arch is elliptical or oval. In contrast, dogs have six incisors and long, curved canines. Their arch is long, with a short, straight anterior segment. The bite configuration is not oval. Dogs' canines can leave deep punctures, with tissue tearing (Panel B).

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Arlequín. NEJM, Set 4, 2003  
Curiosa coloración de un recién nacido.

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Recien nacido con petequias y trombocitopenia.NEJM.349:7;2003  

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Impétigo neonatal. Medscape.  
We present a case of nonbullous impetigo neonatorum associated with late onset group B streptococcal meningitis in a 12-day-old infant. Both skin lesions and meningitis resolved with antibiotic therapy. This is the first reported case of meningitis during the course of this skin disease.

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Ojos de Mapache y Neuroblastoma.NEJM.Vol.349,#4,2003  
Caso clinico de neuroblastoma.

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Sindrome de Zellweger. Indian Pediatrics. Julio 2003.  
A one-year-old male child presented with complaints of recurrent cough, hurried respiration and delayed developmental milestones. On physical examination, the child had flat facies, flat occiput, high forehead, upward slanting of palpebral fissures, hypertelorism, epicanthal folds and anteverted nares (Fig.1). He also had hepatosplenomegaly, marked hypotonia with sluggish reflexes and bilateral coarse crepitations. X-ray of chest showed bi-lateral non homogenous opacities, abdominal ultrasound showed grade II nephropathy and CT scan of the head showed frontal lobe atrophy. A diagnosis of Zellweger syndrome was made.

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Sindrome del Maquillaje Kabuki. Indian Pediatrics, Julio 2003.  
A 10-year-old girl presented with mild developmental delay with poor scholastic performance. Her facial features included wide palpebral fissure, long thick eye lashes arched eyebrows, everted lower eyelids in their lateral portion, flat nasal tip and prominent ears (Fig. 1) She had generalized muscular hypotonia with lax joints. Her cardiac evaluation revealed presence of coarctation of aorta. Her facial features suggested the diagnosis of Kabuki Makeup Syndrome.

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Quilotorax. Virtual Children's Hospital of Iowa.  

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Hernia Diafragmática Congénita. Virtual Children's Hospital of Iowa.  

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Malformación Adenomatoidea Quística. Virtual Children`s Hospital of Iowa.  

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Enfisema Lobar Congénito. Virtual Children's Hospital of Iowa.  

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Nudo compuesto de cordón umbilical. NEJM, Julio 10, 2003.  
A pesar del nudo el bebe nació bien!!!

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Niña de 9 años con Hepatoesplenomegalia y dolor del muslo. NEJM, Junio 26, 2003.  
Enfermedad de Gaucher. Extensa discusión del caso.

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Enfermedad Mieloproliferativa Transitoria en un recién nacido. NEJM.Junio 19, 2003.  
Extensa discusión del caso del New England Journal of Medicine.

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Neonato con hipoglicemia persistente y micropene. eMedicine.  
This full-term male newborn is noted to have intractable hypoglycemia. His blood glucose level is 20-30 mg/dL. The child's physical examination findings are normal except for a small penis. The newborn's blood glucose level can be corrected with intravenous (IV) glucose, but he becomes hypoglycemic when the glucose infusion is stopped. What is the diagnosis?

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Púrpura de Henoch Schoenlein. eMedicine.  
One week ago, the mother of this 4-year-old girl noted small red dots on the child's legs, which the primary pediatrician diagnosed as bug bites. The lesions became larger, and a schoolteacher confronted the mother about what she thought were bruises on the child's legs. Concerned, the mother brought the child to a dermatologist, and biopsy was performed; however, the mother states that no diagnosis was made. Now, nearly hysterical, the mother brings her daughter to the emergency department and complains that the rash looks worse and that the child refuses to walk. The girl is afebrile, appears well, and she is able to ambulate. What is the diagnosis?

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Cutis Laxa Congénita. Indian Pediatrics.  
A 2-year-old male patient presented with premature aging and unusual thin and pendulous elastic skin. There was slight delay in development of milestones. On examina-tion he weighed 10 kg, had a senile facies, loose and thin skin. Face revealed an antimongoloid slant, slightly everted nostril, prominent ears, epicanthic folds (Fig. 1). The joints were normal. There was no family history of a similar disease. On the basis of these clinical findings, a diagnosis of congenital Cutis laxa was made.

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Eritema infeccioso. Quinta eruptiva.  
Parvovirus B-19

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Lengua geográfica  
Glositis migratoria benigna.

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Sindrome de Gianotti-Crosti  
Asociada a enfermedades virales y a atopía.

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Vitiligo  
Revisión corta.

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Sindrome de Noonan. Indian Pediatrics, Mayo 2003.  
Hermanos con Noonan.

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Erupción Medicamentosa Fija. Contemp Ped.  
Secundaria a Ibuprofeno.

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Niña de 14 años con lesión dérmica recurrente. Medscape.  
A 14-year-old girl is brought to you complaining of an itchy red rash on her back (Figure 1). The rash appeared four months ago as a scaly red bump and enlarged over several weeks in an annular pattern to cover a large area (see photo). She was treated at that time with topical 1% clotrimazole and 0.05% betamethasone dipropionate cream; the rash cleared up almost completely. Within two weeks of ending therapy, however, the rash reappeared. Treatment was started again, with success, and again the rash recurred once the topical therapy was stopped. Since then, the rash has reappeared every time treatment is stopped, and improvement is seen only after the topical cream is reapplied.

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Pitiriasis Rosea. Medscape.  
Un recorderis.

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Miasis  
Facial furuncle on 3-year-old boy camping in Ontario.

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Macrodistrofia Lipomatosa  
Raro caso de Macrodactilia

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Encefalomielitis Aguda Diseminada.Ital.J.Pe;29:18diatr.2003  
Niño de 8 años con inicio brusco de sintomas neurológicos,resonancia magneticahizo el diagnostico,tratamiento con corticoides e inmunoglobulina G endevenosa.

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Caso clínico-dermatológico para diagnóstico. Rev.Chil.Ped.Nov.2002  
Lesión en cuero cabelludo. Diagnostico y discusión.

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Caso Interactivo de la Sociedad Latinoamericana de Gastroenterología Pediátrica.  
Ingrese a éste interesante caso interactivo de un niño de 13 años con Ictericia y Hepatomegalia.

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Fallas en la separación de los párpados. Colaboración del Dr. Fernando Mendiola  
Desde la semana 9 a la 26, los párpados en desarrollo permanecen fusionados por sus márgenes. La separación comienza poco a poco alrededor de la semana 21, una vez concluida la maduración de las glándulas de meibomio, los folículos de las pestañas y el tarso.

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Tricobezoar. NEJM, Marzo 27, 2003.  
Niña de 4 años con 2 semanas de vómitos biliosos. Presentaba tricotilomanía pero los padres no pensaron que sería un serio problema.

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Halo nevi. Contemp Pediatrics, Enero 2003.  
You are asked to evaluate an 8-year-old boy who recently developed white rings around moles on his neck and back. Although he complains of slight itching, you don't see signs of scratching. His mother reports that he tans well and has never had a sunburn. Moreover, she is compulsive about keeping him covered with sunscreen. She cannot recall any family history of melanoma, non-melanoma skin cancer, or unusual looking moles.

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Disorganization-like syndrome. Indian Pediatrics.  
Algo inusual.

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Impétigo. Medscape Dermatology.  
Impétigo

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Deformación tibial en lactante. Anales de Pediatría.  
Varón, lactante de 2 meses, nacido por parto eutócico con un peso de 3.500 g y 52,5 cm de longitud. Sin antecedentes mórbidos en el período neonatal. Sin antecedentes traumáticos.

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Tricotilomanía. Indian Pediatrics, Enero 2003.  

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Niña de 9 años con debilidad progresiva y arreflexia  
Caso poco frecuente pero interesante.

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Anomalías Oculoaurículovertebrales (CONTINUACION 2)  
Más fotos.

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Anomalías Oculoaurículovertebrales (CONTINUACION)  
Siguen las fotos.

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Anomalías Oculoauriculovertebrales. Contribución del Oftalmólogo Pediatra Dr. Fernando Mendiola  
Revisión de un espectro de anomalías oculoaurículovertebrales.

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Ablactancia y hierro.  
Mejoría de anemia iniciando carnes a los 6 meses.

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Dedos sobremontados ¿Qué hacer?  
Alguien sabe si vale la pena tratar estos dedos ortopédicamente? Pueden contestar a través del FORO.

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Intoxicación por mercurio.  
Esta no la van a ver nunca más.

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Dermatosis Bulosa Crónica de la Niñez. Indian Pediatrics. Enero 2003  
A seven-year-old boy presented with multiple vesicobullous lesions over the lower abdomen, genitalia and both extremities for four years. The lesions were discrete, tense, and the ‘bulla spread sign’ was negative. They were lying over a non-erythematous base while the surrounding skin was variably pigmented, denoting areas of prior healed lesions (Fig.1). Excoriation marks revealed the itchy nature of the disease. Mucous membranes, hair and nails were uninvolved. The course of the disease had been waxing and waning. New lesions always appeared in vicinity of the older healed ones. Intermittent courses of oral steroids had helped in temporary partial remission, only to resurface again. The patient was started on dapsone 25 mg per day and a dramatic, though partial response was evident by the end of first week. At the end of second week, the dose was escalated to 50 mg per day, and the patient has been in complete remission since.

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Absceso cerebral  

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Pseudoptosis. Dr. Fernando Mendiola: Oftalmología Pediátrica  
Breve explicación de la Pseudoptosis.

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Lactante con síndrome de Down y condensación persistente en lóbulo medio  
Hernia diafragmática.

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Otro nevus lineal.Caso de Medscape  
A 6-year-old boy is referred by his pediatrician to the dermatology department for evaluation and possible removal of a lesion. The lesion has been present since birth and has grown slowly with the child's growth. Initially thought to be a wart, it has persisted despite treatment with liquid nitrogen. The mother's main concern at this point is that her son's classmates are teasing him about the lesion. The child is otherwise healthy, and he is motivated to have the lesion removed.Examination reveals a linear 6 1-cm epidermal collection of brown, relatively dry, warty papules. Examination of the rest of the patient's skin reveals no other remarkable findings.

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Sindrome de Cornelia de Lange  
Caracteristicas del sindrome y foto de un caso.

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Contribución del Dr. Fernando Mendiola sobre cómo hacer el "Cover Test"  
Dos figuras de cómo puede realizarse un "Cover Test" de manera práctica.

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DIENTE NEONATAL. Portada del AJDC  

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Nódulo ulcerado en un recién nacido. Caso de Contemp Ped  
Este bebe de dos semanas de edad nació con este nódulo ulcerado.

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Absceso retroorbitario. Caso de The Completely Different Pediatric Emergency Medicine Journal  
Varón de 15 años que se presenta en la emergencia con el síntoma principal de dolor facial y rinorrea.

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Mancha rojo cereza en la retina. Indian Pediatrics.  
Sabes qué es la mancha rojo cereza en la retina? Revisa este caso.

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Mastitis neonatal  
El crecimiento del tejido mamario en los recién nacidos es un evento hormonal fisiológico común. La manipulación excesiva puede resultar en infección secundaria.

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Niño de 6 meses con estreñimiento  
Niño de 6 meses con estreñimiento crónico. Se muestran radiografías (en inglés)

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Neurocisticercosis  
Resonancia Magnética en una niña de 9 años con Neurocisticercosis

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Diagnóstico visual  
Mande su diagnóstico por el foro

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