A Vietnamese Child with a Rash on the Back
Am Fam Physician. 2016 Jan 15;93(2):131-132.
A nine-year-old Vietnamese girl presented with an erythematous rash on her back that appeared suddenly one day prior. She also had upper respiratory tract symptoms, including nasal congestion, sore throat, nonproductive cough, and a fever of 102°F (38.9°C) for three days. Her history was otherwise unremarkable.
On physical examination, the patient appeared acutely ill. She had erythematous nasal turbinates and bilateral anterior cervical lymphadenopathy. The lungs were clear to auscultation. There were linear erythematous lesions located on her posterior thorax (Figure 1). The lesions included petechiae and were nontender to palpation. She had no other skin lesions.
Based on the patient's history and physical examination findings, which one of the following is the most likely diagnosis?
A. Atopic dermatitis.
B. Child abuse.
C. Coining therapy.
D. Contact dermatitis.
E. Viral exanthem.
REFERENCESshow all references
1. Davis RE. Cultural health care or child abuse? The Southeast Asian practice of cao gio. J Am Acad Nurse Pract. 2000;12(3):89–95....
2. Wolff K, Johnson R, Saavedra A, Fitzpatrick TB, eds. Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology. 7th ed. New York, NY: McGraw-Hill; 2013.
3. Shukla R. Dermatology's changing face…and body. Practices adapt to demographic and racial shifts. American Adademy of Dermatology. Young Physician Focus. Fall 2012. https://www.aad.org/file%20library/global%20navigation/member%20tools%20and%20benefits/publications/ypf/fall-2012-ypf.pdf. Accessed October 22, 2015.
4. Greenberg M. Greenberg's Text-Atlas of Emergency Medicine. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2005:938.
5. McDonald KC. Child abuse: approach and management. Am Fam Physician. 2007;75(2):221–228.
This series is coordinated by John E. Delzell, Jr., MD, MSPH, Assistant Medical Editor.
A collection of Photo Quiz published in AFP is available at http://www.aafp.org/afp/photoquiz.
Previously published Photo Quizzes are now featured in a mobile app. Get more information at http://www.aafp.org/afp/apps.
The editors of AFP welcome submissions for Photo Quiz. Guidelines for preparing and submitting a Photo Quiz manuscript can be found in the Authors' Guide at http://www.aafp.org/afp/photoquizinfo. To be considered for publication, submissions must meet these guidelines. E-mail submissions to firstname.lastname@example.org.
Copyright © 2016 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact email@example.com for copyright questions and/or permission requests.
Want to use this article elsewhere? Get Permissions