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Juvenile Intermittent Facial Flushing is a benign and underrecognized condition that can present dramatically but is usually harmless. Here's a quick pediatric wisdom pearl you can share with your group, along with an infographic idea.

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🌟 Pediatric Pearl: Juvenile Intermittent Facial Flushing (JIFF)

👧🏽 What is it?
A rare, benign condition in children and adolescents characterized by transient, often unilateral flushing of the face, typically triggered by exercise, heat, spicy food, or emotional stimuli.

🩺 Clinical Features:

• Intermittent episodes of facial redness, usually unilateral

• May be accompanied by warmth or mild tingling

• Triggers include: exertion, hot environments, spicy food

• No systemic symptoms (fever, rash, neurological deficits)

🔍 Differential Diagnosis:

• Harlequin syndrome

• Frey syndrome

• Rosacea

• Mastocytosis

• Carcinoid syndrome (rare in peds)

🧪 Investigations:
Usually none needed if the child is otherwise well and history is typical.
Consider neuroimaging if neurological symptoms are present.

✅ Management:

• Reassurance is key!

• Educate parents on the benign nature

• Avoid known triggers if bothersome

• Monitor for any evolving neurological symptoms

🧠 Teaching Tip:
When you see unilateral flushing in a well child, think JIFF before you jump to imaging.

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🖼️ Infographic Idea:

• Split-face illustration (half flushed, half normal)

• List of common triggers around the flushed side

• Bullet list of key features + reassurance message

• Color palette: soft red tones with neutral beige or white background

Would you like me to create a graphic or template for this pearl?

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