Editor-in-Chief A Parthasarathy
Distinguished Professor The Tamil Nadu Dr MGR Medical University Retd Senior Clinical Professor of Pediatrics Madras Medical College Deputy Superintendent Institute of Child Health and Hospital for Children
Chennai, Tamil Nadu, India
Chief Academic Editor Rohit Agrawal
Director and Consultant Pediatrician Chandrajyoti Children Hospital, Mumbai Visiting Consultant, Kohinoor Hospital
Mumbai, Maharashtra, India
Academic Editors Nitin K Shah
Consultant Pediatrician PD Hinduja Hospital for Children Honorary Hemato-Oncologist BJ Wadia Hospital and Lion's Hospital
Mumbai, Maharashtra, India
Vijay N Yewale
Director and Consultant Pediatrician Dr Yewale's Multispecialty Hospital for Children
Sector 9, Vashi, Maharashtra, India
Honorary Pediatric Consultant Mathadi Trust Hospital,
Navi Mumbai Maharashtra, India
Executive Editors Piyush Gupta
Professor of Pediatrics University College of Medical Sciences
New Delhi, India
Ritabrata Kundu
Professor of Pediatrics Institute of Child Health
Kolkata, West Bengal, India
Digant Shastri
CEO and Chief Pediatrician Killol Children Hospital and NICU
Majuragate, Surat, Maharashtra, India
Ex-Officio Editors TU Sukumaran
Professor of Pediatrics PIMS,
Thiruvalla, Kerala, India
Deepak Ugra
Consultant Pediatrician Lilavati Hospital,
Mumbai, Maharashtra, India
Tanmay Amladi
Honorary Head Department of Neonatology Wadia Hospital
Mumbai, Maharashtra, India
Sailesh Gupta
Consultant Pediatrician Arushree Childcare Hospital
Malad, Mumbai, Maharashtra, India
Publication Editor Dhanya Dharmapalan
Consultant Pediatrician Dr Yewale's Multispecialty Hospital for Children
Navi Mumbai, Maharashtra, India
Dharmapalan's Clinic
Tilak Nagar, Mumbai, Maharashtra, India
Forewords Rohit Agrawal
TU Sukumaran
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IAP Color Atlas of Pediatrics (A Publication of Indian Academy of Pediatrics)
First Edition: 2013
9789350257104
Printed at
5Dedicated to
The Parents of the suffering Tiny Tots who successfully protected them from the clutches of malnutrition and vaccine preventable diseases but could not succeed in protecting them from congenital malformations, metabolic, endocrine and genetic disorders
7Contributors
- Editor-in-Chief
- A Parthasarathy
- Distinguished Professor
- The Tamil Nadu Dr MGR Medical University
- Retd Senior Clinical Professor of Pediatrics
- Madras Medical College
- Deputy Superintendent
- Institute of Child Health and Hospital for Children
- Chennai, Tamil Nadu, India
- Chief Academic Editor
- Rohit Agrawal
- Director and Consultant Pediatrician
- Chandrajyoti Children Hospital
- Visiting Consultant, Kohinoor Hospital
- Mumbai, Maharashtra, India
- Academic Editors
- Nitin K Shah
- Consultant Pediatrician
- PD Hinduja Hospital for Children
- Honorary Hemato-Oncologist
- BJ Wadia Hospital and Lion's Hospital
- Mumbai, Maharashtra, India
- Vijay N Yewale
- Director and Consultant Pediatrician
- Dr Yewale's Multispecialty Hospital for Children
- Sector 9, Vashi, Navi Mumbai, Maharashtra, India
- Honorary Pediatric Consultant
- Mathadi Trust Hospital, Navi Mumbai
- Maharashtra, India
- Executive Editors
- Piyush Gupta
- Professor of Pediatrics
- University College of Medical Sciences
- New Delhi, India
- Ritabrata Kundu
- Professor of Pediatrics
- Institute of Child Health
- Kolkata, West Bengal, India
- Digant Shastri
- CEO and Chief Pediatrician
- Killol Children Hospital and NICU
- Majuragate, Surat
- Maharashtra, India
- Ex-Officio Editors
- TU Sukumaran
- Professor of Pediatrics
- PIMS, Thiruvalla, Kerala, India
- Deepak Ugra
- Consultant Pediatrician
- Lilavati Hospital
- Mumbai, Maharashtra, India
- Tanmay Amladi
- Honorary Head
- Department of Neonatology
- Wadia Hospital
- Mumbai, Maharashtra, India
- Sailesh Gupta
- Consultant Pediatrician
- Arushree Childcare Hospital
- Malad, Mumbai, Maharashtra, India
- Publication Editor
- Dhanya Dharmapalan
- Consultant Pediatrician
- Dr Yewale's Multispecialty Hospital for Children
- Navi Mumbai, Maharashtra, India
- Dharmapalan's Clinic
- Tilak Nagar, Mumbai, Maharashtra, India
SECTION 1: NEONATOLOGY
- Editors
- Rhishikesh Thakre
- Professor
- Department of Pediatrics
- MGM Medical College and Hospital
- N5 Cidco, Aurangabad, Maharashtra, India
- Ruchi Nanavati
- Professor and Head
- Department of Neonatology
- Seth GS Medical College and KEM Hospital
- Mumbai, Maharashtra, India
SECTION 2: GROWTH AND DEVELOPMENT
- Editors
- KN Agarwal
- President
- Health Care and Research Association for Adolescents
- D-115, Sector-36, Noida, Uttar Pradesh, India
- MKC Nair
- Director
- Child Development Center
- Medical College Campus
- Thiruvananthapuram, Kerala, India
SECTION 3: NUTRITION
- Editor
- Meenakshi Mehta
- Head of Department
- Consultant Pediatrician
- MGM Hospital, Parel
- Mumbai, Maharashtra, India
SECTION 4: INFECTIOUS DISEASES
- Editors
- Jaydeep Choudhury
- Associate Professor
- Institute of Child Health
- Dr Biresh Guha Street
- Kolkata, West Bengal, India
- Nupur Ganguly
- Associate Professor
- Institute of Child Health
- Dr Biresh Guha Street
- Kolkata, West Bengal, India
SECTION 5: NEUROLOGY
- Editors
- PAM Kunju
- Professor and Head
- Department of Pediatric Neurology
- Government Medical College
- Thiruvananthapuram, Kerala, India
- Anoop Verma
- Consulting Pediatrician
- Swapnil Nursing Home and Research Center
- Civil Lines, Raipur, Chhattisgarh, India
SECTION 6: CARDIOLOGY
- Editor
- M Zulfikar Ahamed
- Professor and Head
- Department of Pediatric Cardiology
- Government Medical College
- Thiruvananthapuram, Kerala, India
SECTION 7: PULMONOLOGY
- Editors
- TU Sukumaran
- Professor of Pediatrics
- PIMS, Thiruvalla, Kerala, India
- Devaraj Raichur
- Professor of Pediatrics
- Karnataka Institute of Medical Sciences
- Hubli, Karnataka, India
SECTION 8: GASTROINTESTINAL SYSTEM AND HEPATOLOGY
- Editors
- Malathi Sathiyasekaran
- Consultant Pediatric Gastroenterologist
- KKCTH, SMF and Apollo Hospitals
- Chennai, Tamil Nadu, India
- A Riyaz
- Pediatric Gastroenterologist
- Professor and Head of Pediatrics
- Government Medical College
- Calicut, Kerala, India
SECTION 9: NEPHROLOGY
- Editor
- Pankaj Deshpande
- Consultant Pediatric Nephrologist
- Hinduja Hospital, Mahim
- Veer Savarkar Marg
- Dr Yewale's Hospital, Sector-9, Vashi
- Navi Mumbai, Maharashtra, India
SECTION 10: HEMATOLOGY
- Editors
- MR Lokeshwar
- Consultant Pediatrician and Pediatric Hematologist
- of Lilavati Hospital and Research Center
- Bandra(W), Mumbai, Maharashtra, India
- Shushrusha Citizen's Cooperative Hospital
- Dadar, Mumbai, Maharashtra, India
- Bharat Agarwal
- Head
- Department of Pediatric Hematology and Oncology
- BJ Wadia Hospital for Children, Parel
- Mumbai, Maharashtra, India
SECTION 11: ONCOLOGY
- Editors
- Purna Kurkure
- Professor and Incharge Pediatric Oncology
- Convenor, Pediatric Solid Tumor Group
- Tata Memorial Hospital, Parel
- Mumbai, Maharashtra, India
- Anupama S Borker
- Associate Professor
- Department of Pediatrics
- Kasturba Medical College, Manipal University
- Manipal, Karnataka, India
SECTION 12: ENDOCRINOLOGY
- Editors
- Vaman Khadilkar
- Pediatric and Adolescent Endocrinologist
- Jehangir Hospital, Pune, Maharashtra, India
- Bombay Hospital
- Mumbai, Maharashtra, India
- Head
- Division of Pediatric Endocrinology
- Bharati Vidyapeeth Medical College, Pune
- Mumbai, Maharashtra, India
- PSN Menon
- Consultant and Head
- Department of Pediatrics
- Jaber Al-Ahmed Armed Forces Hospital
- PO Box No 5819, Salmiya 22069, Kuwait
SECTION 13: GENETICS
- Editors
- Shubha R Phadke
- Professor
- Department of Medical Genetics
- Sanjay Gandhi Postgraduate Institute of Medical Sciences Lucknow, Uttar Pradesh, India
- ML Kulkarni
- Head
- Department of Pediatrics
- JJM Medical College
- Davangere, Karnataka, India
SECTION 14: ALLERGY, RHEUMATOLOGY
- Editor for Allergy
- Major K Nagaraju
- Senior Consultant in Pediatric Allergy
- and Clinical Immunology
- Kanchi Kamakoti Child Trust Hospital
- Nungambakkam, Chennai
- Tamil Nadu, India
- Editor for Rheumatology
- Vijay Viswanathan
- Consultant in Pediatric Rheumatology
- Sandhi Children's Clinic, Unit No 4, Doctor House
- Plot No 101, Sector 21, Nerul (E), Navi Mumbai
- Maharashtra, India
SECTION 15: ADOLESCENT HEALTH AND MEDICINE
- Editor
- Swati Y Bhave
- Senior Visiting Consultant
- Indraprastha Apollo Hospitals
- New Delhi, India
- Executive Director
- AACCI
- CII/47 Shahjahan Road, New Delhi, India
SECTION 16: CHILD ABUSE, NEGLECT AND CHILD LABOR
- Editor
- Meenakshi Mehta
- Head of Department
- Consultant Pediatrician
- MGM Hospital, Parel
- Mumbai, Maharashtra, India
SECTION 17: DERMATOLOGY
- Editor
- Jayakar Thomas
- Professor and Head
- Department of Dermatology and STD
- Sree Balaji Medical College and Hospital
- Chromepet, Chennai, Tamil Nadu, India
SECTION 18: OPHTHALMOLOGY
- Editors
- TS Surendran
- Vice Chairman, Director
- Department of Pediatric Ophthalmology
- President-Strabismological Society of India
- Sankara Nethralaya, 18, College Road
- Nungambakkam, Chennai, Tamil Nadu, India
- S Meenakshi
- Senior Consultant
- Department of Pediatric Ophthalmology
- Director-Department of Academics
- Sankara Nethralaya, 18, College Road
- Nungambakkam, Chennai, Tamil Nadu, India
- R Srikanth
- Fellow
- Department of Pediatric Ophthalmology
- Sankara Nethralaya, 18, College Road
- Nungambakkam, Chennai, Tamil Nadu, India
SECTION 19: OTORHINOLARYNGOLOGY
- Editor
- Divya Prabhat
- Head
- ENT Department
- BJ Wadia Hospital for Children, Parel
- Mumbai, Maharashtra, India
- Jeevak Hospital, Near Dadar TT
- Mumbai, Maharashtra, India
SECTION 20: PEDIATRIC SURGERY
- Editors
- Ketan Parikh
- Consultant Pediatric Surgeon and Pediatric Laparoscopist
- 302 Royal Chambers,
- Gulmohar Road, JVPD
- Mumbai, Maharashtra, India
- Website info: http://www.pedsurg.in
- Arbinder Kumar Singal
- Pediatric Urologist and Hypospadiologist
- MGM Hospital, Vashi, Navi Mumbai
- Maharashtra, India
- MITR Urology Center and Hypospadias Foundation
- Kharghar, Navi Mumbai
- Maharashtra, India
SECTION 21: ORTHOPEDICS
- Editors
- K Sriram
- Consultant Orthopedic Surgeon
- Kanchi Kamakoti Childs Trust Hospital
- Formerly, Professor and Head
- Department of Orthopedics
- Madras Medical College, Chennai, Tamil Nadu, India
- Kanchi Kamakoti Child Trust Hospital
- Nungambakkam, Chennai
- Tamil Nadu, India
- Vijay Sriram
- Consultant Orthopedic Surgeon
- Kanchi Kamakoti Child Trust Hospital
- Nungambakkam, Chennai
- Tamil Nadu, India
SECTION 22: PEDIATRIC IMAGING
- Editors
- Nishigandha Burute
- Consultant Radiologist
- Bhaveshwar Vihar
- 383, Sardar VP Road
- Mumbai, Maharashtra, India
- Bhavin Jankharia
- Consultant Radiologist
- President
- SRL Diagnostics-Jankharia Imaging
- Bhaveshwar Vihar
- 383, Sardar VP Road
- Mumbai, Maharashtra, India
IAP Color Atlas of Pediatrics is an innovative attempt of IAP under Presidential Action Plan 2012, envisaged to disseminate academics in a novel pictorial format, for the first time in the history of IAP, probably only second in the world after Color Atlas of Tropical Pediatrics by American Academy of Pediatrics (AAP). This mammoth collection of images compiled in an atlas should be a visual treasure in the library of an academician, which should also serve as ready-reckoner for a busy practitioner and a boon for postgraduate students as well. I am sure this master creation artfully crafted by a dedicated team of Executive Editors comprising, Drs Vijay N Yewale, Piyush Gupta, Ritabrata Kundu, Digant Shastri and Publication Editor, Dhanya Dharmapalan and the 37 learned Section Editors who are experts in their respective specialty, under the leadership of Dr A Parthasarathy, the Editor-in-Chief, the past President of IAP, who is not only the custodian but crusader of child health. I must admit, the conceptuality was inspired and conceived from the Color Atlas of Tropical Pediatrics but my dream was realized by missionary Dr A Parthasarathy and his editorial board taking the challenge on war-footing and completing the job in a span of six months.
An honest attempt is being made to cover entire pediatric science under 22 subspecialty sections edited by section editors who are Key Academic Opinion Leaders (KAOL) and experts in their respective fields. I, sincerely, appreciate with deep admiration all those fellow academicians who have contributed by sharing their valuable collection of images towards this esthetic creation, which in nutshell is exemplary par excellence.
Rohit Agrawal
National President
Indian Academy of Pediatrics, 2012
15Foreword
It is my pleasure and privilege to write a foreword for IAP Color Atlas of Pediatrics. Let me at the outset congratulate Dr Rohit Agrawal, President IAP 2012 and Dr A Parthasarathy, Editor-in-Chief; Drs Nitin K Shah, Dr Vijay N Yewale, Piyush Gupta, Ritabrata Kundu, Digant Shastri and Dhanya Dharmapalan, all editorial board members for launching this fantastic book within a short span of time. Let me also congratulate all the contributors of this book for their wonderful performance. The color atlas is quite unique in that it is first Color Atlas of Pediatrics in the country and will be a ready-reckoner for a busy practicing pediatrician and a guide book for postgraduate students. I have gone through the contents of this book and it is quite fascinating. It contains color pictures, X-rays, CT scans and MRI of common pediatric problems affecting all systems, some of the rare and uncommon conditions encountered in pediatric practice with highlights on management.
I wish this maiden endeavor all the best.
TU Sukumaran
National President
Indian Academy of Pediatrics, 2011
17Preface
It is a matter of pride for the Indian Academy of Pediatrics to present the IAP Color Atlas of Pediatrics, the first ever publication of an atlas in the history of Indian Academy of Pediatrics. The atlas, is modeled after the Color Atlas of Tropical Pediatrics published by the American Academy of Pediatrics in 2009 for which Dr A Parthasarathy, Editor-in-Chief, IAP Textbook of Pediatrics as well as of this color atlas, was invited to serve as one of the international associate editors. In fact, this atlas is one-step ahead of Color Atlas of Tropical Pediatrics as it includes the entire pediatric science in its ambit.
The IAP Color Atlas of Pediatrics provides an unsurpassed visual archive of pediatric illnesses both common and rare, which a health professional dealing with children, encounters in day-to-day practice. Each colorful image, which speaks volumes for itself, is supplemented with a brief description of the condition and suggested management. The images are well organized under 22 specialty sections and furthermore, the conditions have been arranged in an alphabetical order for easy and convenient reference. Each section has been framed and edited by the most experienced key opinion leaders in the respective pediatric subspecialty field, from across the country. This has, in addition, undergone a further level of scrutiny by well-known academicians.
Rather than a highly detailed, academic text, the IAP Color Atlas of Pediatrics is a practical working resource. This rich color atlas features more than 1000 high-quality color images and relevant text details with a brief note on management which spans almost every pediatric specialty. It focuses on early and rapid diagnosis of various pediatric illnesses, and offers an outstanding, must have, ready-reckoner asset for students and in the practitioner's office shelf.
Though private publications of Color Atlases in Neonatology, Pediatrics, Dermatology, etc., are available, but there is no authentic publication by a professional body. It is indeed a pleasure to thank all the section editors and contributors for their invaluable contributions in making this a bright academic success. We also thank the publishers for providing this wonderful, superior print and flawless book.
It will always be a relentless endeavor of the Indian Academy of Pediatrics to provide better and latest information in pediatrics. We welcome your feedback and criticism from all our readers which will only motivate us to improvise and deliver the best.
We dedicate this wonderful creation to the parents and tiny tots in whose sufferings we have discovered learning experience.
A Parthasarathy
Editor-in-Chief
Rohit Agrawal
Chief Academic Editor
Piyush Gupta, Ritabrata Kundu, Digant Shastri
Executive Editors
Nitin K Shah, Vijay N Yewale
Academic Editors
Dhanya Dharmapalan
Publication Editor
19Acknowledgments
The Editor-in-Chief acknowledges with gratitude the dedication, devotion, commitment, hardwork and assistance provided by the Chief Academic Editor, Dr Rohit Agrawal; Academic Editors, Drs Nitin K Shah and Vijay N Yewale; Executive Editors, Drs Piyush Gupta, Ritabrata Kundu and Digant Shastri, for their untiring last minute scrutiny, coordination, cooperation and concerted efforts in shaping the sections assigned to them to a near state-of-art version.
Special mention must be made about the Publication Editor Dr Dhanya Dharmapalan's secretarial-cum-editorial assistance in an untiring manner, despite her busy academic and professional commitments, with last minute efforts to procure, scrutinize and proofread all the 22 Sections; but for her sincere efforts the atlas would not have seen the light of the day.
Our gratitude and appreciation to all 37 learned Section Editors who made this publication possible with their brilliant contributions sacrificing their professional and academic commitments for the last six months.
We acknowledge with gratitude the hard work of all our contributors for the crystal clear images and practical text provided by them in different sections.
The editorial board is indebted to CIAP and its Office Bearers of IAP 2011, Dr TU Sukumaran, President; Tanmay Amladi, Honorary Secretary General; Sailesh Gupta, Honorary Treasurer; Pravin Mehta, Academic Affairs Administrator; Mr Gonsalves, Superintendent and his team of dedicated staff of CIAP and all executive board members of 2011 for their moral support in executing this project successfully.
I would like to especially acknowledge our illustrious publishers M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India; Mr Jitendar P Vij (Chairman and Managing Director) for his innovative ideas and kind acceptance to publish this unique atlas from his international publishing house; Mr Tarun Duneja (Director-Publishing) and Ms Samina Khan (PA to Director-Publishing) for coordination, Mr KK Raman (Production Manager), Mr Sunil Dogra (Production Executive), Mr Neelambar Pant (Production Coordinator), Mr Rajesh Sharma (Production Coordinator), Subrata Adhikari (Author Coordinator) and Parul Goswami (Coordinator), and the team of Mr Gurnam Singh (Proofreader), Mr Rajesh Kumar (Typesetter) and Mr Manoj Pahuja (Graphic Designer), for working hard day and night, to publish this atlas in a record time with high production value matching international publication standards; Mr RP Mukherjee, Branch Manager-Chennai Branch and Mr R Jayanandan (Sr Commissioning Editor), for coordination and the entire family of publication for continued patronage to IAP publications.
My sincere gratitude to Mrs (Dr) Prathiba Janardhanan, Mrs Kavitha Balaji, Mr R Janardhanan, Mr P Balaji, Ms Shruthi Pavana, Ms Swathi Pavana, Ms Kavya and Ms Mahiya for secretarial assistance and Mrs Nirmala Parthasarathy (PRO), AP Child Care, Chennai, Tamil Nadu, India, for correspondence assistance.
A Parthasarathy
Editor-in-Chief