RT Book, Section
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114876231
T1 Psoriasis
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114876231
RD 2024/04/20
AB A  5-year-old  boy  presents  to  his  pediatrician  with  a  new  onset  rash  2  weeks  after  being  treated  for  strep  pharyngitis.  He  had  been  treated  with  a10-day  course  of  amoxicillin  after  a  positive  rapid  strep  test  in  the  office.  The  mother  states  that  her  son  is  otherwise  feeling  well  with  a  good  appetite  and  no  change  in  his  activities.  The  pediatrician  notes  small  plaques  on  the  child’s  face,  arms  and  trunk  and  sees  the  resemblance  to  drops  of  water  (Figure  136-1).  The  vital  signs  are  normal  as  is  the  rest  of  the  physical  examination.  A  diagnosis  of  guttate  psoriasis  is  made  without  any  laboratory  tests  or  biopsies.  The  child  is  started  on  0.1  percent  triamcinolone  ointment  to  be  applied  twice  daily.  A  referral  to  dermatology  is  also  made.