The Boy With The Pink Cheeks
|A 5 y.o. boy was brought to the Emergency Room because he had an apparent seizure. He had a history of slow developmental milestones and was felt to be mentally retarded for his age. He was in a special education class rather than kindergarden. He had walked at 20 months and began speaking at the age of 30 months. He had been in his usual state of health until dinner on the day of admission. He had sat down at the table, uttered a cry and fell to the floor. His parents rushed to his side and noted that his eyes were "rolled up", he was shaking and foaming at the mouth. The shaking lasted about one minute. Afterwards, he was noted to be incontinent of urine and was difficult to arouse for about 15 minutes. By the time the family reached the emergency room, the child seemed to be back to his baseline level of functioning.|
On examination, the child appeared normal and had a normal neurological examination. Several pink papular nodules were noted on his cheeks. Using a Wood's lamp, numerous hypopigmented oval patches were noted on his trunk and extremites.