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ASPD Quiz Case 6
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This 2-year-old girl presents with increasing numbers of these lesions on her face and neck for the past 4 months. They are otherwise asymptomatic and she remains well. Her developmental milestones are appropriate.
1. What is your most likely diagnosis?
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1 point
Xanthomas
Urticaria pigmentosa
Papular urticaria
Papular eczema
Juvenile Xanthogranulomas
2. Which of the following condition has been associated with this diagnosis?
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1 point
Atopic dermatitis
Systemic lupus erythromatosus
Juvenile myelomonocytic leukemia
Hyperlipidemia
Coarctation of the aorta
3. What treatment is currently recommended?
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1 point
Excise all lesions and send for histology
Topical corticosteroids
Chemotherapy
Reassurance, education and regular surveillance
Regular anti-histamines until lesions resolve
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