Six-Month-Old Boy with “Milky” Serum

Pyoderma gangrenosum in a six-month-old boy.

Pyoderma gangrenosum (PG) is an uncommon, chronic ulcerative condition of the skin that was first described in 1930. It can occur in any age group, but only 4% of the patients are infants or children. An underlying systemic disease is present in approximately 50% of the patients with PG. The most common associations include inflammatory bowel disease, arthritis, lymphoproliferative disorders an...

Meningioma in a 20-Month-Old Boy

A 20-month-old boy presented with a intraparenchymal mass in the right frontoparietal area manifesting as complex partial seizure, secondary generalization and left hemiparesis. Magnetic resonance images (MRI) of the brain showed inhomogeneously enhancing mass in the right frontoparietal area which has irregular margin and perilesional edema. Based on the radiological findings, a preoperative d...

A 7-month-old boy with failure to thrive.

This 7-month-old boy was evaluated for failure to gain weight. He was the 7-lb., 7-oz. product of a full-term pregnancy to a 31-year-old gravida 2 para 2 woman. It was a precipitous vaginal delivery, but there were no perinatal problems. His mother initially nursed him every 3 hours for 20 minutes on each breast. Recently, he had been feeding once during the night. He had three normal bowel mov...

An 18-Month-Old Boy with Decreasing Height Velocity.

An 18-month-old boy presented to our clinic for a routine well visit. His mother was concerned that, although he was cruising at age 12 months, he was still not walking or talking. He was born at 39 weeks and 5 days via cesarean delivery secondary to breech presentation. His APGAR (Appearance, Pulse, Grimace, Activity, Respiration) scores were 9 and 9 at 1 and 5 minutes, respectively. Antenatal...

A 7-month-old boy with breathing problems.