ASPD Quiz Case 13

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ASPD Quiz Case 13

This is a 15-month-old Malay boy with multiple small brown papules since the age of 4 months old. They started as few papules, progressively increasing in numbers over the face and neck predominantly. No umbilication was visualised. He is otherwise symptomatic and well. Physical examination revealed a clinically well, thriving, developmentally appropriate child with no significant systemic findings.

1. What is the most likely diagnosis? *

1 point

Multiple Juvenile Xanthogranuloma

Urticaria Pigmentosa

Langerhans Cell Histiocytosis

Plane Warts

Benign Cephalic Histiocytosis

2. What would be your immediate management? *

1 point

Perform a biopsy urgently

Observe and reassure parents

Cryotherapy

Topical imiquimod

Regular oral antihistamine

3. Which statements best explain the most likely outcome of this condition? *

1 point

The outcome is guarded, depending on the outcome of the biopsy

Good outcome with resolution of skin lesion with prompt and appropriate treatment

Condition will continue to wax and wane throughout childhood

Good outcome with spontaneous resolution during childhood

Condition remained the same throughout his life

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