IAP Color Atlas of Pediatrics Nitin K Shah, Ritabrata Kundu, Vijay N Yewale, Digant D Shastri, Dhanya Dharmapalan, A Parthasarathy, Rohit Agrawal, Piyush Gupta, S Sachidananda Kamath, Pramod Jog, Pravin Mehta, Bakul Jayant Parekh
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1IAP Color Atlas of PEDIATRICS
2
3IAP Color Atlas of PEDIATRICS
Second Edition
EDITORIAL BOARD Editor-in-Chief A Parthasarathy Senior Consultant Pediatrician AP Child Care, Chennai Ex-Distinguished Professor The Tamil Nadu Dr MGR Medical University, Chennai Retired Senior Clinical Professor of Pediatrics Madras Medical College, Chennai Deputy Superintendent Institute of Child Health and Hospital for Children Chennai, Tamil Nadu, India apartha2030@gmail.com Chief Academic Editor Rohit Agrawal Director and Consultant Pediatrician Chandrajyoti Children Hospital, Mumbai Visiting Consultant, Kohinoor Hospital Mumbai, Maharashtra, India drrohitag@hotmail.com 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 drnitinshah@hotmail.com Vijay N Yewale Director and Consultant Pediatrician Dr Yewale's Multispecialty Hospital for Children Navi Mumbai, Maharashtra, India Honorary Pediatric Consultant Mathadi Trust Hospital Navi Mumbai Maharashtra, India vnyewale@gmail.com Executive Editors Piyush Gupta Professor of Pediatrics University College of Medical Sciences New Delhi, India prof.piyush.gupta@gmail.com Ritabrata Kundu Professor of Pediatrics Institute of Child Health Kolkata, West Bengal, India rkundu22@gmail.com Digant Shastri CEO and Chief Pediatrician Killol Children Hospital and NICU Surat, Gujarat, India drdigant@hotmail.com Publication Editor Dhanya Dharmapalan Consultant Pediatrician Dr Yewale's Multispecialty Hospital for Children Navi Mumbai, Maharashtra, India Dharmapalan's Clinic Mumbai, Maharashtra, India drdhanyaroshan@gmail.com Ex-Officio Editorial Advisers S Sachidananda Kamath Medical Director and Senior Consultant Pediatrician, Welcare Hospital Kochi, Kerala, India sachikamath@gmail.com Pramod Jog Professor, DY Patil Medical College Director and Senior Consultant Pediatrician Aster Medipoint Hospital Consultant Pediatrician Jog Children Hospital Pune, Maharashtra, India dr_pramodjog@yahoo.co.in Pravin Mehta Senior Consultant Pediatrician Hindu Sabha Hospital, Inlaks General Hospital, Mumbai, Maharashtra, India pravinmehta51@gmail.com Bakul Jayant Parekh Head, Institute of Bakul Parekh Children's Hospital (BPCH) and Multispecialty Tertiary Care Centre, Mumbai, Maharashtra, India bakulparekh55@gmail.com Forewords S Sachidananda Kamath Vijay N Yewale
4
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IAP Color Atlas of Pediatrics (A Publication of Indian Academy of Pediatrics)
First Edition: 2012
Second Edition: 2015
9789351527008
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 6
7Foreword
It is both a pleasure and a privilege to write a foreword for the 2nd edition of IAP Color Atlas of Pediatrics. The enormous collection of images compiled in the first edition has already notched its place as one of the best formats compared to other atlases available currently in the global market. The second edition of the Atlas with more outstanding images and upgraded sections clearly sets a new standard as a pediatric reference and is certain to become an indispensable tool for practicing pediatricians, graduate and postgraduate students of pediatrics. The book with its visual treasure shows the pictures, we often seek but have difficulty findings.
This disease manual reflects an intensive effort by contributors and reviewers. I congratulate Dr A Parthasarathy (Editor-in-Chief); Dr Rohit Agrawal (Chief Academic Editor); Drs Nitin K Shah and Vijay N Yewale (Academic Editors); Drs Piyush Gupta, Ritabrata Kundu, and Digant Shastri (Executive Editors); and Dhanya Dharmapalan (Publication Editor) including the dedicated contributors of the 22 sections for their magnanimous and magnificent effort in bringing out this remarkable atlas.
I also take this opportunity to congratulate M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for the excellent colorful presentation matching international standard.
S Sachidananda Kamath
Medical Director and Senior Consultant Pediatrician
Welcare Hospital
Kochi, Kerala, India
sachikamath@gmail.com
National President 2015
Indian Academy of Pediatrics (IAP) 8
9Foreword
I am delighted to write the foreword for the second edition of one of the most coveted publications of the Indian Academy of Pediatrics. I have been fortunate to have been associated as the Academic Editor of its first edition and happy to have witnessed its roaring popularity among pediatricians and students due to its unique compilation of hundreds of high quality clinical illustrations which speak for themselves. The descriptive notes on the upgraded pictures along with the updated management suggestions by the leading experts form an icing on the cake for this atlas. Also, the book manages to cover a vast spectrum of pediatric specialties makes it a priceless asset for anyone who deals with child health care.
I congratulate the entire team which includes the contributors, section editors, editorial board and M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, who have worked relentlessly to achieve this milestone for the book. Above all, my hearty congratulations to the ever-enterprising respected Dr A Parthasarathy, whose untiring efforts are the main powerful driving force for the entire success story behind the second edition. My best wishes for many such successive editions and an evergreen popularity to make a permanent mark in the history of medical literature.
Vijay N Yewale
Director and Consultant Pediatrician
Dr Yewale's Multispecialty Hospital for Children
Navi Mumbai, Maharashtra, India
Honorary Pediatric Consultant
Mathadi Trust Hospital
Navi Mumbai, Maharashtra, India
vnyewale@gmail.com
National President 2014
Indian Academy of Pediatrics (IAP) 10
11Preface to the Second Edition
It is a matter of pride that in a short span of three years, it has necessitated to bring out the 2nd edition of IAP Color Atlas of Pediatrics, which perhaps is the best in its format compared to other atlases available currently in global market as pointed out by the international review agency. When we approached the authors to revise and update the text for the 2nd edition, almost all of them felt that there is hardly any necessity to revise as the original presentation; is relevant even today which serves as state-of-the-art desk-top reference volume. Few felt that few more images can be provided to enrich their existing text, and they have done so by the way of upgrading their sections.
We are grateful to all the authors who have taken pains to go through the text of the first edition and done the needful despite their busy academic and professional schedules. We are equally indebted to our publishers M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, who have done their best to maintain the excellence of this publication in the present edition without compromising the quality. Particular mention should be made about Dr Dhanya Dharmapalan (Publication Editor) for shaping the first edition to the present state-of-the-art presentation.
We sincerely hope that practicing pediatricians, faculty of pediatrics in medical colleges, graduate and postgraduate students of pediatrics as well will find this treatise more useful to acquire practical knowledge through visual perception, and practice the management guidelines to benefit the children and adolescents under their care.
A Parthasarathy
Editor-in-Chief
Rohit Agrawal
Chief Academic Editor
Nitin K Shah, Vijay N Yewale
Academic Editors
Piyush Gupta, Ritabrata Kundu, Digant Shastri
Executive Editors 12
13Preface to the First Edition
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 this Academy. The atlas is modeled after the Color Atlas of Tropical Pediatrics published by the American Academy of Pediatrics (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 the early and rapid diagnoses 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 14
15Acknowledgments
The Editor-in-Chief acknowledges with gratitude the dedication, devotion, commitment, hardwork and assistance provided by Dr Rohit Agrawal (Chief Academic Editor); Drs Nitin K Shah and Vijay N Yewale (Academic Editors); Drs Piyush Gupta, Ritabrata Kundu, and Digant Shastri (Executive Editors), 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 38 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; Shri Jitendar P Vij (Group Chairman) for his innovative ideas and kind acceptance to publish this unique atlas from his international publishing house; Mr Ankit Vij (Group President), Mr Tarun Duneja (Director-Publishing) and Ms Samina Khan (Executive Assistant to Director-Publishing) for coordination, Mr KK Raman (Production Manager), Mr Sunil Dogra (Production Executive), Mr Neelambar Pant and Mr Rajesh Sharma (Production Coordinators), Subrata Adhikari (Author Coordinator), and the team of Ms Kamlesh Rawat (Proofreader), Mrs Yashu Kapoor (Typesetter), Mrs Seema Dogra (Cover Designer) 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 Senthil Kumar (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 Dr Mrs Prathiba Janardhanan, Mrs Kavitha Balaji, Mr R Janardhanan, Mr P Balaji, Ms Shruthi Pavana, Ms Swathi Pavana, Ms Kavya Balaji and Ms Mahiya Balaji, for secretarial assistance and Mrs Nirmala Parthasarathy (PRO), AP Child Care, Chennai, Tamil Nadu, India, for correspondence assistance.
A Parthasarathy
Editor-in-Chief 16
17Contributors  
Section 1: Neonatology
 
Section 2: Growth and Development
 
Section 3: Nutrition
 
Section 4: Infectious Diseases
 
Section 5: Neurology
 
Section 6: Cardiology
 
Section 7: Pulmonology
 
Section 8: Gastrointestinal System and Hepatology
 
Section 9: Nephrology
 
Section 10: Hematology
 
Section 11: Oncology
 
Section 12: Endocrinology
 
Section 13: Genetics
 
Section 14: Allergy, Rheumatology
20
 
Section 15: Adolescent Health and Medicine
 
Section 16: Child Abuse, Neglect and Child Labor
 
Section 17: Dermatology
 
Section 18: Ophthalmology
 
Section 19: Otorhinolaryngology
 
Section 20: Pediatric Surgery
21
 
Section 21: Orthopedics
 
Section 22: Pediatric Imaging
22