Củ xơ cứng Ash lá hypopigmented tổn thương bất cứ nơi nào trên cơ thể Shagreen các bản vá lỗi, đưa ra bản vá lỗi trên lại thấp hơn với kết cấu vỏ cam adenoma sebaceum đỏ, nốt mạch máu trên khuôn mặt mà có thể giống như làm trầm trọng thêm mụn trứng cá Periungual fibromas Café-au-lait điểm-flat, | DERMATOLOGIC MANIFESTATIONS OF SYSTEMIC DISEASE See Table 20-4. HIGH-YIELD FACTS TABLE 20-4. Dermatologic manifestations of systemic disease. Tuberous sclerosis Ash leaf hypopigmented lesions anywhere on body Shagreen patches raised patches on lower back with orange-peel texture Adenoma sebaceum red vascular nodules on face that may resemble aggravated acne Periungual fibromas Neurofibromatosis Café-au-lait spots flat sharply demarcated ovoid light brown macules with the long axis oriented along a cutaneous nerve track Sturge-Weber syndrome Port-wine stain hemangioma variant appears as a sharply marginated red or purple macule commonly distributed unilaterally on the face present at birth and never disappears lesion grows proportionately to the size of the individual and may develop papular and nodular areas see Figure 20-13 Bacterial endocarditis Osler s nodes tender violaceous subcutaneous nodules on palms and soles Janeway lesions multiple hemorrhagic nontender macules on fingers and toes Subungual splinter hemorrhages Multiple nonblanching red macules petechiae on upper chest and mucous membranes Obesity endocrino-pathy malignancy GI Acanthosis nigricans velvety hyperpigmented plaques occur in axillae and groin Peutz Jeghers syndrome Lentigines hyperpigmented macules on nose mouth oral cavity hands and feet 380 HIGH Psychiatric Disease PSYCHIATRIC EXAMINATION OF CHILDREN Consult multiple sources Child young children usually report information in concrete terms but give accurate details about their emotional states Parents Teachers Child welfare justice Methods of gathering information Play stories drawing Kaufman Assessment Battery for Children K-ABC intelligence test for ages 2h to 12 Wechsler Intelligence Scale for Children-Revised WISC-R intelligence quotient IQ for ages 6 to 16 Peabody Individual Achievement Test PIAT tests academic achievement I MENTAL RETARDATION MR See chapter on neurologic disease. LEARNING DISORDERS See chapter on neurologic disease. .
