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Facial Erythema and Onychoschizia—Quiz Case

Juan Redondo-Mateo, MD; Alfonso Urbon-Artero, MD
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Michael E. Ming, MD
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Copyright 2005 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

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Arch Dermatol. 2005;141(11):1457-1462. doi:10.1001/archderm.141.11.1457-a
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REPORT OF A CASE

A 7-year-old patient presented with a 1-month history of rhinitis, cough, low-grade fever, and bright, patchy erythema on his cheeks and chin. The rash did not respond to treatment with halometasone cream or betamethasone dipropionate cream with gentamycin sulfate. His medical history was noncontributory, and his parents were nonconsanguineous and in good health

On physical examination, erythematous plaques were evident on the patient’s cheeks and chin (Figure 1). He also had onychoschizia of some fingernails (Figure 2). The results of bacterial and mycological culture of facial skin were negative. A punch biopsy specimen was obtained from an erythematous plaque on the face (Figure 3).

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Figure 1.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

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To understand the clinical management of acute heart failure syndromes.
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