Quiz 12 - Mexican boy with a rash

This 15 year old Mexican boy was seen with a history of diarrhea for many months. What is the diagnosis?
 


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Thank you for your time.

7 comments:

Anonymous December 1, 2008 1:50 PM  

What is the significance of auscultation ? Or is it just to confuse us !!

Amit December 1, 2008 5:06 PM  

hahaha this time i think it is to confuse us only

DGO December 1, 2008 6:56 PM  

May be there is a murmur. So let us think. Rash + Murmur. Carcinoid ? Infective Endocarditis ?

Anonymous December 1, 2008 11:25 PM  

Right sided murmur will go with carcinoid syndrome with pellagrous dermatitis.Skin rash is typical of pellagra. Mexico is important clue because pellagra is rare there even though maize is staple diet.
The reason is because of different way in which the grain is processed in Mexico.

Anonymous December 3, 2008 7:03 PM  

Your site appears malaligned on CNMC computers.

Sun December 4, 2008 7:56 AM  

I think it is the old version of internet explorer that is causing the problems. I dont have a fix for it at present but i m working on it. Thanks for visiting.

Sun

Dhingra December 8, 2008 6:40 AM  

Shhhhh...is that Casal's Necklace !?

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