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Facial Burning and Scarring in a Child

Facial Burning and Scarring in a Child Abstract REPORT OF A CASE A 6-year-old boy presented with a three-year history of burning sensation and pruritus. The areas of involvement included the face, neck, and arms; symptoms worsened after periods of sun exposure. There was no history of rash, urticaria, petechiae, or edema. The patient was taking no medications, and his medical history and family history were unremarkable.Cutaneous examination revealed multiple 1- to 2-mm depressed scars on both cheeks (Fig 1). No erythema, blisters, or other abnormalities were noted. QUESTIONS For each of the following multiple-choice questions, choose the best answer(s) (answers follow discussion). What is your diagnosis? Hydroa vacciniforme Lupus erythematosus Polymorphous light eruption Ulerythema ophryogenes Erythropoietic protoporphyria Hutchinson's summer prurigo A biopsy specimen was obtained from the patient's forearm (Fig 2). Based on the clinical and histologic findings, which would be the most appropriate laboratory test(s) to References 1. DeLeo VA, Poh-Fitzpatrick MB, Mathews-Roth MM, et al: Erythropoietic protoporphyria . Am J Med 1976;60:8-22.Crossref 2. Magnus IA, Jarrett A, Prankerd TAJ, et al: Erythropoietic protoporphyria: A new porphyria syndrome with solar urticaria due to protoporphyrinaemia . Lancet 1961;2:448-451.Crossref 3. Cripps DJ, Scheuer PJ: Hepatobiliary changes in erythropoietic protoporphyria . Arch Pathol Lab Med 1965;80:500-508. 4. Mathews-Roth MM, Pathak MA, Fitzpatrick TB, et al: Betacarotene as a photoprotective agent in erythropoietic protoporphyria . N Engl J Med 1970;282:1231-1234.Crossref 5. Mathews-Roth MM, Pathak MA, Fitzpatrick TB, et al: Betacarotene as an oral photoprotective agent in erythropoietic protoporphyria . JAMA 1974;228:1004-1008.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Facial Burning and Scarring in a Child

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1985.01660070119033
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE A 6-year-old boy presented with a three-year history of burning sensation and pruritus. The areas of involvement included the face, neck, and arms; symptoms worsened after periods of sun exposure. There was no history of rash, urticaria, petechiae, or edema. The patient was taking no medications, and his medical history and family history were unremarkable.Cutaneous examination revealed multiple 1- to 2-mm depressed scars on both cheeks (Fig 1). No erythema, blisters, or other abnormalities were noted. QUESTIONS For each of the following multiple-choice questions, choose the best answer(s) (answers follow discussion). What is your diagnosis? Hydroa vacciniforme Lupus erythematosus Polymorphous light eruption Ulerythema ophryogenes Erythropoietic protoporphyria Hutchinson's summer prurigo A biopsy specimen was obtained from the patient's forearm (Fig 2). Based on the clinical and histologic findings, which would be the most appropriate laboratory test(s) to References 1. DeLeo VA, Poh-Fitzpatrick MB, Mathews-Roth MM, et al: Erythropoietic protoporphyria . Am J Med 1976;60:8-22.Crossref 2. Magnus IA, Jarrett A, Prankerd TAJ, et al: Erythropoietic protoporphyria: A new porphyria syndrome with solar urticaria due to protoporphyrinaemia . Lancet 1961;2:448-451.Crossref 3. Cripps DJ, Scheuer PJ: Hepatobiliary changes in erythropoietic protoporphyria . Arch Pathol Lab Med 1965;80:500-508. 4. Mathews-Roth MM, Pathak MA, Fitzpatrick TB, et al: Betacarotene as a photoprotective agent in erythropoietic protoporphyria . N Engl J Med 1970;282:1231-1234.Crossref 5. Mathews-Roth MM, Pathak MA, Fitzpatrick TB, et al: Betacarotene as an oral photoprotective agent in erythropoietic protoporphyria . JAMA 1974;228:1004-1008.Crossref

Journal

Archives of Dermatology – American Medical Association

Published: Jul 1, 1985

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