Combination of Skin Findings and Arthritis in Pediatrics Patient - Differential Diagnosis Malar rash: • A butterfly-like erythematous raised rash in the cheeks or thorax. • Suggestive of: Lupus Discoid rash: • Sore with a lighter center and erythematous or hyperpigmented rim. • Suggestive of: Lupus Erythema marginatum: • A serpentinous like rash with elevated rim (In POC redness may not be seen try focus on texture of skin) • Suggestive of: Rheum Fever Erythema migrans: • Target sign with hyperpigmented or erythematous center • Suggestive of Lyme infection Salmon macules • Accentuated after bathing • Suggestive of systemic JIA Keratoderma blenorrhagicum: • Pustules that coalesce into psoriatic-like plaques • Suggestive of Reactive Arthritis (ReA) Balanitis circanata: • Small penile ulcers • Suggestive of Reactive Arthritis (ReA), Lupus by Gabriel Talledo MD(c) @gabrieltalledop #dermatology #arthritis #skin #differential #diagnosis #peds #pediatrics
