4.4 of 5 Ratings
An 8-week-old girl is brought by her mother to a pediatrician for concern regarding a new red "bump" over her right thigh. The mother first noticed it about four weeks ago, and she thinks that it has been growing slowly. She isn't particularly concerned about its appearance. She is certain that there was nothing present at birth. On physical exam, you see the following 1cm by 1.5cm skin finding (Figure A). Her skin exam is otherwise unremarkable. What is the best initial management for this patient?
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A 6-month-old boy is brought in by his mother who is concerned about a raised red lesion on his scalp (Figure A). The mother reports that she first noted it at birth, and that it has increased in size over the past two months. The patient was born from a full-term pregnancy with no complications and an unremarkable vaginal delivery. He has no medical problems and takes no medications except for Vitamin D. He breast feeds and his mother supplements with formula. His vital signs are stable and his physical examination is unremarkable with the exception of the lesion in question. What is the appropriate next step in management?