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Session 2 CM derm14
CM- Derm -14- Neonatal Derm
| Question | Answer |
|---|---|
| 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:
smaxsmith
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