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Leslie C. Gray, MD; Donald C. Abele, MD
Medical College of Georgia, Augusta

Arch Dermatol. 1998;134:625-630.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A previously healthy 2-year-old African American girl was referred by her pediatrician because of a 2-week history of annular erythematous papules and plaques on her forehead that spread to involve her right ear and upper extremities. She had a 3-week history of fever, decreased appetite, and bilateral tibial pain. The pain was evident on palpation and when the child attempted to bear weight on her lower extremities. Significant laboratory test results obtained by her pediatrician included the following: white blood cells, 11.1 x 10⁹/L; hemoglobin, 99 g/L; hematocrit, 0.29; and Westergren erythrocyte sedimentation rate, 100 mm/h. Serologic tests were negative for antistreptolysin O; a throat culture was negative for organisms; and urinalysis revealed trace protein and red blood cells but no casts. A bone scan and x-ray films of the lower extremities revealed no abnormalities. On physical examination, there were several . . . [Full Text of this Article]