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Session 2 CM derm14

CM- Derm -14- Neonatal Derm

QuestionAnswer
Repiratory tract problmes are the number one reason shy children are seen for medical problems what is number two skin disorders
benign proliferation of capillary endothelium in epidermis Congenital Hemangiomas
what are the phases of a congenital hemangioma growth phase- 6-9months of age stabilization- second 6-9months of age involution- next 3 to 7 years
What is the Tx for congenital hemngiomas none unless tumor is causing functional deficit like blocking vision. The you can use steroids, inf gamma or laser removal
Round raised bright red and bumpy growth that fade to become white or gray fewer than 10% require treatment Capillary hemangiomas (strawberry mark)
Slightly raised dome shaped blue or purple swellings that sometimes involve soft tissues, bones or digestive tract cavernous hemangioma
Developmental error in a combination of capillary, venous, or lymphatic tissues grow in proportion to child and do not resolve vascular malformation
What is the optional treatment for vascular malformation laser removal
Symptomless light red to pink marks that usually fade with time salmon patches
flat, pink marks that progress to raised, dark red to purple grape like lumps that distort the area port-wine stains
What capillaries are involved in a port-wine stain involves superficial and also deeper vessels
When should treatment for port-wine stains start treatment in infancy or childhood improves results
Where do you find port wine stains most often face
What are the two syndromes associated with port wine stains Sturges-weber syndrom and Killpel-Trenaunay
Hyperpigmented slate gray/bluish black flat areas 75% on sacrum or buttocks but can also be on truk and extremeties can be mistaken for bruising Mongolian Spots
What groups have mongolian spots more african americans and orientals
When do mongolian spots fade generally by 7y/o
Does mongolian spots indiacte an increased chance of cancer no they are not a marker for increased chance of cancer
Intense erythema with central papule or pustule resembles flea bite benign and self limited of unknown etiology Erythema toxicum neonatorum
When does erythema toxicum neonatorum present occurs 50% of infants from 24-48hrs after birth found on back face, chest extremities spares palms and sole
Vesicopustules or ruptured pustules present at birth that disappear in 24-48 hrs transient neonatal pustular melanosis
What can happen with transient neonatal pustular melanosis after the pusutles have ruptured leave pigmented macules w/ collarette of scale that fades within 3wks to 3 months typically on neck forehead lower back and legs
Multiple 1-2mm yellow papules usually found on nose and cheeks that are a normal response to maternal adrogenic stimulation of sebaceous gland growth resolves in 4-6 months sebaceous gland hyperplasia
Stimulation of sebaceous glands and indcution of abnormal keratinization of hair follicles by maternal androgens producing comedones, papules, pustues on cheeks, forehead and upper chest Neonatal acne
Does a family history of acne indicate an infant will have neonatal acne no
does neonatal acne indicate a child will have severe acne as an adolescent no
failure to change diapers frequently can exacerbate this also harsh soaps and detergents. Usually on convex surfaces sparing intertriginous areas and can become complicated by secondery staph or strep infections Diaper Dermatitis
What is Tx for diaper dermatitis frequent diaper changes, thorough gentle cleansing, barrier pastes, rarely low potency steroid ointment
How do you distinguish candidal caused diaper dermatitis from normal diaper dermatitis candidal will appear more macerated (beefy shiny red) with satellite pustules
bright red sharp borders and pinpoint satellite pustules and papules in intertriginous areas KOH prep shows budding yeast and pseudohyphae Candidal diaper dermatitis
What is the Tx for candidal diaper darmatitis antifungals, nystatin ointment gentian violet
Occasional complication of irritant diaper dermatitis presents with thin walled pustules on erythematous base that rupture and dry producing collaretter of scaling around red bases Gram stain shows polys gram + cocci in clusters staphylococcal diaper dermatitis
What is the Tx for staphylococcal diaper dermatitis prevention, oral and topical abs
Salmon colored greasy lesions with yellowish scales seen in intertriginous areas associated w/ seborrheic dermatitis of the scalp may have post inflammatory hypopigmentation seborrheic diaper dermatitis
What is the treatment for seborrheic diaper dermatitis frequent baths, scarpe scales, hydrocortisone .5-1%
Erythematous well demarcated scaling eruption that fails to respond to empiric tx diagnose with skin biopsy Psoriatic diaper dermatitis
Greasy salmon colored thick scaling scalp, eyebrows eyelashes, neck, axilla, groin found in hair bearing intertriginous areas seborrheic dermatitis
Cradle cap dry patch of scaling overlying mildly erythematous skin that become thickened may present with nonscaring alopecia and postinflammatory skin changes including hypo/hyperpigmentation seborrheic dermatitis
bright red sharp borders and pinpoint satellite pustules and papules in intertriginous areas KOH prep shows budding yeast and pseudohyphae Candidal diaper dermatitis
What is the Tx for candidal diaper darmatitis antifungals, nystatin ointment gentian violet
Occasional complication of irritant diaper dermatitis presents with thin walled pustules on erythematous base that rupture and dry producing collaretter of scaling around red bases Gram stain shows polys gram + cocci in clusters staphylococcal diaper dermatitis
What is the Tx for staphylococcal diaper dermatitis prevention, oral and topical abs
Salmon colored greasy lesions with yellowish scales seen in intertriginous areas associated w/ seborrheic dermatitis of the scalp may have post inflammatory hypopigmentation seborrheic diaper dermatitis
What is the treatment for seborrheic diaper dermatitis frequent baths, scarpe scales, hydrocortisone .5-1%
Erythematous well demarcated scaling eruption that fails to respond to empiric tx diagnose with skin biopsy Psoriatic diaper dermatitis
Greasy salmon colored thick scaling scalp, eyebrows eyelashes, neck, axilla, groin found in hair bearing intertriginous areas seborrheic dermatitis
Cradle cap dry patch of scaling overlying mildly erythematous skin that become thickened may present with nonscaring alopecia and postinflammatory skin changes including hypo/hyperpigmentation seborrheic dermatitis
An estimated 20% of infants and young children suffer or experience this disease roughly sixty percet will continue to have sypmptoms later in adulthood of either dry skin or hand exzema atopic dermatitis
Phase of atopic dermatitis from 1-6 mos of age lasting to 2-3 yrs of age that had itching weeping papules and plaques usually symmetrical on cheeks forehead scalp trunk sparing diaper area infantile phase of atopic dermatitis
Created by: Max Smith Max Smith on 2009-11-17



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