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Galderma Ch. 9.1 - 9.5 - Pediatric Derm Answer Key

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Neonatal Dermatology
#1 Healthy infant with subcutaneous nodules. Histology shows lymphocytes, histiocytes, giant cells, needle-shaped clefts, fat necrosis, calcification. Hypercalcemia upon resolution. Subcutaneous Fat Necrosis of the Newborn
#2 Aplasia Cutis Congenita (ACC)
#3 Acute Hemorrhagic Edema of Infancy (Finkelstein Disease)
#4 Bohn Nodule
#5 Infant with Hirschprung's Jacquet's Erosive Dermatitis
Childhood Infectious Disease
#1 Etiology of hand, foot and mouth disease Coxsackie A16
#2 Erythema Infectiosum / Fifth Disease (Parvovirus B19)
#3 Leading cause of acquired heart disease in children Kawasaki's disease
#4 Gianotti-Crosti Syndrome (avoid steroid creams)
#5 Child with Rubella Forschheimer Spots
Pigmented Lesions
#1 Genetic defect? Peutz-Jeghers Syndrome (STK11 / LKB1)
#2 Nevus Spilus / Speckled Lentiginous Nevus
#3 This finding along with macrocephaly, lipomas and hemangiomas Bannayan-Riley Ruvalcaba
#4 VBR1 gene, nasal alar hypoplasia, hypothyroidism, congenital deafness, pancreatic achylia Johanson-Blizzard Syndrome
#5 Keratin 14 mutation, palmoplantar hypohidrosis, hyperkeratoses, poor dentition, no dermatoglyphics. Naegeli-Franceschetti-Jadassohn
Dermal Tumors and Disorders
#1 What malignancy is associated with NF-1 and multiple Juvenile Xanthogranulomas? CML
#2 Positive Darier's Sign. What is the mutated receptor? C-Kit (CD 117)
#3 Dermoid Cyst
#4 Infantile Digital Fibroma
#5 Oral mucosal and gingival lesions, alveolar bone loss, and this finding: Floating teeth, Langerhans Cell Histiocytoses
Vascular Lesions
#1 Lymphangioma Circumscriptum
#2 s/p parotid surgery: Auriculotemporal Syndrome (Frey's Syndrome)
#3 Livedo reticularis, CVAs, antiphospholipid antibodies Sneddon Syndrome
#4 FLTA gene, autosomal dominant lymphedema Milroy's Disease
#5 RASA1 mutation, multiple fast-flow AVMs and limb hypertrophy Parkes-Weber Syndrome
Final Question
What is the gene defective in Acrodermatitis Enteropathica and the zinc-dependent enzyme that is low in that disorder? SLC39A4, alkaline phosphatase