A newborn infant who developed a vesicular eruption, clinically indistinguishable from herpetic l... more A newborn infant who developed a vesicular eruption, clinically indistinguishable from herpetic lesions, eventually developed the classic features of Job's syndrome. The initial ares of involvement included the hands and feet, then the scalp, face, and suprapubic skin. The clear, tense vesicles varied only slightly in size and appeared as isolated, grouped, or confluent lesions on inflamed skin. Many eventually became umbilicated. The more typical eczematous component appeared over the course of the next several months. Although the child initially had an elevated white blood cell count and eosinophilia, his IgE level did not become dramatically elevated until after 1 year of age. Job's syndrome should be considered as part of the differential diagnosis of a vesicular eruption in the newborn.
Histiocytosis X is a disorder of histiocytes of the Langerhans' cell lineage. As the init... more Histiocytosis X is a disorder of histiocytes of the Langerhans' cell lineage. As the initial feature is often cutaneous, recognition of these skin changes is important. Several cutaneous manifestations have been described, most commonly, seborrheic dermatitis with a hemorrhagic component. We saw two patients with histiocytosis X with cutaneous manifestations resembling cherry angiomas.
Chronic cough in children is a frequent complaint seen by the primary health care provider. Altho... more Chronic cough in children is a frequent complaint seen by the primary health care provider. Although many of these coughs spontaneously resolve, some are caused by a more serious process and require further attention. Selecting those patients who will benefit from a more extensive evaluation can be a difficult challenge. An overview is provided that emphasizes a systematic approach to the diagnosis and management of chronic cough.
Archives of pediatrics & adolescent medicine, May 1, 1991
Books for the general physician who encounters children with difficult diagnoses and management p... more Books for the general physician who encounters children with difficult diagnoses and management problems are few, but in great demand. The major pediatric textbooks emphasize individual diseases rather than problems of diagnosis and management. This book attempts to fill that void. The book is divided into two sections. We are told that the first section deals with approaches to evaluations of common problems and that the second section deals with specific disease entities that are difficult to diagnose or to distinguish from similar disorders. I was confused by exactly how each chapter was chosen for one section vs the other, and, therefore, this division into two sections did not help organize the book for me. Nevertheless, each chapter easily stands by itself. The book discusses a broad spectrum of disease categories, but as Stockman warns in his introduction, the list can hardly be comprehensive. While reading each chapter, it seemed
Introduction: The Academic Medicine Education Institute (AM∙EI), jointly established by Duke-NUS ... more Introduction: The Academic Medicine Education Institute (AM∙EI), jointly established by Duke-NUS Graduate Medical School (Duke-NUS) and Singapore Healthcare Services (SingHealth), is a newly formed health professions education academy designed to cultivate best education practices and create a community of health professions educators. To achieve the aims of AM∙EI, the needs of SingHealth educators have to be understood. Therefore, this study was carried out to assess educators’ perceptions towards the current education climate and their academic needs. Materials and Methods: A 28-item questionnaire consisting of free-response, Likert-type and ranking questions was developed. The questionnaire was electronically distributed to 200 medical and nursing educators, and made available to attendees of the 2012 Singhealth Duke-NUS Scientific Congress through hardcopies. Results: A total of 150 completed questionnaires were received (94 from electronic survey and 56 from Congress). Five the...
A newborn infant who developed a vesicular eruption, clinically indistinguishable from herpetic l... more A newborn infant who developed a vesicular eruption, clinically indistinguishable from herpetic lesions, eventually developed the classic features of Job's syndrome. The initial ares of involvement included the hands and feet, then the scalp, face, and suprapubic skin. The clear, tense vesicles varied only slightly in size and appeared as isolated, grouped, or confluent lesions on inflamed skin. Many eventually became umbilicated. The more typical eczematous component appeared over the course of the next several months. Although the child initially had an elevated white blood cell count and eosinophilia, his IgE level did not become dramatically elevated until after 1 year of age. Job's syndrome should be considered as part of the differential diagnosis of a vesicular eruption in the newborn.
Histiocytosis X is a disorder of histiocytes of the Langerhans' cell lineage. As the init... more Histiocytosis X is a disorder of histiocytes of the Langerhans' cell lineage. As the initial feature is often cutaneous, recognition of these skin changes is important. Several cutaneous manifestations have been described, most commonly, seborrheic dermatitis with a hemorrhagic component. We saw two patients with histiocytosis X with cutaneous manifestations resembling cherry angiomas.
Chronic cough in children is a frequent complaint seen by the primary health care provider. Altho... more Chronic cough in children is a frequent complaint seen by the primary health care provider. Although many of these coughs spontaneously resolve, some are caused by a more serious process and require further attention. Selecting those patients who will benefit from a more extensive evaluation can be a difficult challenge. An overview is provided that emphasizes a systematic approach to the diagnosis and management of chronic cough.
Archives of pediatrics & adolescent medicine, May 1, 1991
Books for the general physician who encounters children with difficult diagnoses and management p... more Books for the general physician who encounters children with difficult diagnoses and management problems are few, but in great demand. The major pediatric textbooks emphasize individual diseases rather than problems of diagnosis and management. This book attempts to fill that void. The book is divided into two sections. We are told that the first section deals with approaches to evaluations of common problems and that the second section deals with specific disease entities that are difficult to diagnose or to distinguish from similar disorders. I was confused by exactly how each chapter was chosen for one section vs the other, and, therefore, this division into two sections did not help organize the book for me. Nevertheless, each chapter easily stands by itself. The book discusses a broad spectrum of disease categories, but as Stockman warns in his introduction, the list can hardly be comprehensive. While reading each chapter, it seemed
Introduction: The Academic Medicine Education Institute (AM∙EI), jointly established by Duke-NUS ... more Introduction: The Academic Medicine Education Institute (AM∙EI), jointly established by Duke-NUS Graduate Medical School (Duke-NUS) and Singapore Healthcare Services (SingHealth), is a newly formed health professions education academy designed to cultivate best education practices and create a community of health professions educators. To achieve the aims of AM∙EI, the needs of SingHealth educators have to be understood. Therefore, this study was carried out to assess educators’ perceptions towards the current education climate and their academic needs. Materials and Methods: A 28-item questionnaire consisting of free-response, Likert-type and ranking questions was developed. The questionnaire was electronically distributed to 200 medical and nursing educators, and made available to attendees of the 2012 Singhealth Duke-NUS Scientific Congress through hardcopies. Results: A total of 150 completed questionnaires were received (94 from electronic survey and 56 from Congress). Five the...
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