This case is the second of a series of interactive exercises that will orient the user to important topics in pediatric environmental health. Within the context of a clinical scenario, important information regarding the diagnosis and management of environmental illness will be presented. Additionally, emphasis will be placed on the public health aspects of pediatric environmental illness. The cases are intended for providers involved in the care of children as well as public health practitioners and other health care providers with an interest in environmental health and medicine.

The content of this case was developed by Jacqueline Wuellner, RN, MPH and Jerrold Leikin, MD, FACP, FACEP, FACMT, FAACT. The case was reviewed by Linda Forst, MD, MPH, Anne Krantz, MD, MPH, and Daniel Hryhorczuk, MD MPH.

 Association of Occupational and Environmental Clinics

 Agency for Toxic Substances and Disease Registry

  USEPA Region Five