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Hand-Foot-and-Mouth Disease

A 10-year-old girl complained of slight fatigue and malaise. A 6-mm tense blister had developed on the dorsum of her right foot (A), lesions had arisen on the palms, and a pinpoint, whitish ulcer had...

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Trichotillomania

A 7-year-old boy is brought for evaluation of a noninflammatory, non-scarring area of alopecia of 3.5-cm diameter in the right occipital area, which had been present for 6 months. The patient has a...

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Congenital Giant Melanocytic Nevus

The skin lesions on this infant girl had been present since birth; she is shown here at approximately 2 weeks of age (A). Results of the physical examination were completely normal except for the...

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Conjunctival and Iridic “Freckles”

The mother of a 5-year-old girl who was frightened by the appearance of a flat “freckle” in her daughter’s eye (A) was reassured by the diagnosis of a benign conjunctival nevus.read more

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Osgood What?

Many of you parents out there may be familiar with knee pain due to Osgood Schlatter’s disease because your child is experiencing it, or you experienced in the past as a child.  It is definitely one of...

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Tuberculosis in Haiti

As a young boy, the only things I recollect about TB were Christmas seals, which supported the care of individuals with the disease, and Sanatoriums, where those infected were isolated from the...

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My Biggest Problems with the RVU System

One of my biggest problems is that the RVU system is decided by a secret society composed of specialist. Nobody seems to have a problem that a “secret society” decides how much work and how much cost...

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To Prevent Ear Infections, You Have to Prevent Colds

“My toddler keeps getting ear infections. There’s got to be a way to help with this. What can we do to prevent them?”read more

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Is In-Toeing in Kids Normal?

In-toeing, commonly referred to as “pigeon-toed,” means that a child walks and runs with his or her feet pointed inward.  This is usually noticeably soon after a child learns how to walk.  In the...

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Elephantiasis in Haiti

Lymphatic filariasis is a mosquito-spread worm infection that is present in 80% of the regions of the country, which really means in every region of the country.read more

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