American Academy of Pediatrics Publishing Staff
Mark Grimes, Director, Department of Publishing
Mary Lou White, Director, Department of Marketing and Sales
Peter Lynch, Manager, Digital Strategy and Product Development
Shannan Martin, Publishing and Production Services Specialist
Amanda Helmholz, Editorial Specialist
Peg Mulcahy, Manager, Art Direction and Production
Linda Smessaert, Brand Manager, Clinical and Professional Publications
Published by the American Academy of Pediatrics
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Elk Grove Village, IL 60007-1019
Telephone: 847/434-4000
Facsimile: 847/434-8000
The recommendations in this publication do not indicate an exclusive course of treatment or serve as a
standard of medical care. Variations, taking into account individual circumstances, may be appropriate.
The American Academy of Pediatrics is not responsible for the content of the resources mentioned in
this publication. Web site addresses are as current as possible but may change at any time.
Products are mentioned for informational purposes only. Inclusion in this publication does not
imply endorsement by the American Academy of Pediatrics.
Brand names are furnished for identification purposes only. No endorsement of the manufacturers
or products mentioned is implied.
This publication has been developed by the American Academy of Pediatrics. The authors, editors,
and contributors are expert authorities in the field of pediatrics. No commercial involvement of
any kind has been solicited or accepted in the development of the content of this publication.
Every effort is made to keep Challenging Cases in Pediatric Diagnosis consistent with the most
recent advice and information available from the American Academy of Pediatrics.
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© 2016 American Academy of Pediatrics. All rights reserved. No part of this publication may be
reproduced, stored in a retrieval system, or transmitted in any form or by any means—electronic,
mechanical, photocopying, recording, or otherwise—without prior permission from the publisher
(locate title at and click on © Get Permissions; you may also fax
the  permissions editor at 847/434-8780 or e-mail
First edition published 2016.
Printed in the United States of America
9-374 1 2 3 4 5 6 7 8 9 10
ISBN: 978-1-61002-016-9
eBook: 978-1-61002-017-6
Library of Congress Control Number: 2015956184
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