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DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_4_091022   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_3_091022   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_2_091022   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: ulcerated_segmental_hemangioma_1_091022 

DermAtlas: ARM - hemangioma, segmental
© 2001-2009, DermAtlas
Image Name: ulcerated_segmental_hemangioma_1_091022   File Type: jpg
Diagnosis: HEMANGIOMA, SEGMENTAL /
HEMANGIOMA /
ULCER
  Category: neonatal dermatology /
lumps & bumps (plaques, nodules, tumors) /
ulcer
Body Site: arm   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: large segmental purple plaque with massive central ulceration
Comments: This healthy 10 week old girl was noted to have a red patch on her arm shortly after birth. The patch grew quickly in volume and a large portion of the expanding plaque became necrotic and ulcerated at 4 weeks of age. She was initially treated with 2 mg/kg/day of oral prednisolone without improvement. The ulcer was painful, and several episodes of secondary infection with methicillin staphylococcus were treated with oral and parenteral antibiotics. At 8 weeks of age the prednisolone was tapered, propranolol 2 mg/kg/day was initiated, and the wound was treated with gentle cleaning and a dressing composed of carboxymethylcellulose and 1.2% ionic silver. The first images dated 10/22 were taken 36 hours after the initiation of propranolol and methylcellulose dressings. Subsequent images taken during dressing changes on 10/25 and 10/28 demonstrate a clean granulating wound base.
Related Images: All related Images  ulcerated_segmental_hemangioma_2_091022  ulcerated_segmental_hemangioma_3_091022  ulcerated_segmental_hemangioma_4_091022  ulcerated_segmental_hemangioma_5_091022  ulcerated_segmental_hemangioma_6_091022  ulcerated_segmental_hemangioma_1_091025  ulcerated_segmental_hemangioma_2_091025  ulcerated_segmental_hemangioma_3_091025  ulcerated_segmental_hemangioma_4_091025  ulcerated_segmental_hemangioma_5_091025  ulcerated_segmental_hemangioma_1_091028  ulcerated_segmental_hemangioma_2_091028  ulcerated_segmental_hemangioma_3_091028 

DermAtlas: TOTAL BODY - collodian baby
© 2001-2009, DermAtlas
Image Name: Collodian_Baby_2_090828   File Type: jpg
Diagnosis: COLLODIAN BABY /
HARLEQUIN ICHTHYOSIS /
ICHTHYOSIS, HARLEQUIN
  Category: genodermatosis/genetic disorder /
congenital malformation
Body Site: total body   Age: 2 days
Contributor: Lakshmana Rao Lanka    
Description: thick parchment-like skin with cracks, fissures, peeling skin, ectropion, and eclabian
Comments: This 2-day-old boy with a collodian membrane, ectropion, and eclabian developed widespread peeling. He was the offspring of consanguinious parents, and a sibling died from the same condition.
Related Images: Collodian_Baby_1_090828 

DermAtlas: TOTAL BODY - collodian baby
© 2001-2009, DermAtlas
Image Name: Collodian_Baby_1_090828   File Type: jpg
Diagnosis: COLLODIAN BABY /
HARLEQUIN ICHTHYOSIS /
ICHTHYOSIS, HARLEQUIN
  Category: genodermatosis/genetic disorder /
congenital malformation
Body Site: total body   Age: 2 days
Contributor: Lakshmana Rao Lanka    
Description: thick parchment-like skin with cracks, fissures, peeling skin, ectropion, and eclabian
Comments: This 2-day-old boy with a collodian membrane, ectropion, and eclabian developed widespread peeling. He was the offspring of consanguinious parents, and a sibling died from the same condition.
Related Images: Collodian_Baby_2_090828 

DermAtlas: GROIN - scarlet fever
© 2001-2009, DermAtlas
Image Name: Scarlatina_1_090828   File Type: jpg
Diagnosis: SCARLET FEVER   Category: infections and infestations /
papulosquamous eruptions
Body Site: groin / abdomen   Age: 6 years
Contributor: Will Sorey, MD    
Description: generalized fine violaceous papular eruption and desquamation
Comments: This 6-year-old girl with a recent history of sore throat developed fine bumps over her arms and trunk. Her mother was alarmed by peeling in the groin, shoulder, neck and digits which appeared a few days later. Although a throat culture was negative, anti-steptolysin antibody was greater than 250. This case prepare by senior medical student at the University of Mississippi Arlene Chiemprabha.

DermAtlas: LEG - nevus, epidermal
© 2001-2009, DermAtlas
Image Name: LinearNevus_1_090828   File Type: jpg
Diagnosis: NEVUS, EPIDERMAL /
NEVUS, LINEAR EPIDERMAL
  Category: linear eruptions /
neoplasm, epidermal
Body Site: leg   Age: 12 years
Contributor: Will Sorey, MD    
Description: linear warty hyperpigmented plaque
Comments: This 12-year-old boy had a linear brown warty plaque on the back of his left leg at birth.The lesion was asymptomatic and unchanged since birth. This case was prepared by senior medical student at the University of Mississippi.Sarah Conerly,

DermAtlas: TRUNK - scoliosis
© 2001-2009, DermAtlas
Image Name: Scoliosis_1_090827   File Type: jpg
Diagnosis: SCOLIOSIS   Category: orthopedic disorders
Body Site: trunk / back   Age: 6 years
Contributor: Nikolaos Sferopoulos, MD    
Description: unequal shoulder height
Comments: A 6-year-old boy had unequal shoulder height. The left scapula was prominent , and the space between the left arm and body was increased. Radiographs indicated two hemivertebrae situated opposite one another.

DermAtlas: TRUNK - scoliosis
© 2001-2009, DermAtlas
Image Name: Scoliosis_1_090828   File Type: jpg
Diagnosis: SCOLIOSIS   Category: orthopedic disorders
Body Site: trunk / back   Age: 13 years
Contributor: Nikolaos Sferopoulos, MD    
Description: prominent left scapula and increased space between left arm and body
Comments: A 13-year-old girl was referred for a unilateral prominence of the costal arch. The left scapula was prominent and the space between the left arm and body was increased. On the bending test the left shoulder was higher than the right. Radiographs indicated a bilateral scoliotic curve.
Related Images: Scoliosis_2_090828 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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