One in 20 of all newborn babies has a congenital malformation, chromosome abnormality or a genetically determined disorder.
A patient with painful, exudative pharyngitis presents problems. Do you give an antibiotic and, if so, which one?
Except for a few characteristic syndromes, nail changes are rarely pathognomonic. At best, nail changes suggest a possible physiological or pathological disturbance.
The patient descriptionbed below was seen at the University of North Carolina Medical Centre at Chapel Hill, USA in March 1982.
In our December 1983 issue we invited doctors to comment on an article with the above title by Dr Charles Harris.