paediatric dermatology Flashcards
how might you avoid nappy rash?
frequent nappy changes disposable nappies nappy-free time for the baby zinc cream use bath oil for gentle cleansing
what is the natural history of congenital haemangioma?
may or may not be present at birth
usually proliferates for the first 9 months then stabilises and finally involutes
What are the typical causation pathogens for impetigo
Staph aureus and strep pyogenes
What are some forms of red blanching rashes
Roseola infection
Kawasaki disease
erythema infectiosum
fever and exanthem
What are some differential diagnoses for papular raised rashes
Scabies, urticaria, molluscum, warts
What is eczema herpeticum?
HSV infection in with eczema
how might we manage itchiness at night in children with eczema?
wet dressings nocte
how do we treat impetigo?
uncomplicated impetigo- wash crusts off and use topical mupirocin
spreading impetigo- flucloxacillin/cephalexin
keep away from school as it is contagious
in which age group do we see staphylococcal scalded skin syndrome?
neonates/infants
describe the skin findings of a child with scarlet fever?
diffuse erythematous exanthem- confluent
often described to have the texture of ‘sandpaper’
later associated with desquamation and exfoliation
describe the skin manifestations of toxic shock syndrome
diffuse erythematous rash associated with oedema +/- maculopapular rash
skin is extremely tender/painful
1-2 weeks post acute presentation get desquamation
describe the skin findings of a child with SSSS?
erythema on neck and face gradually spreads to become a diffuse erythematous rash which is painful/tender.
generally found in flexure distribution i.e. axilla, neck, groin, elbows
the rash becomes fluid bullae and begins to desquamate/exfoliate leaving a ‘scalded’ skin appearance
usually flexures desquamate first
