Menu Expand
Pediatric Dermatology DDX Deck E-Book

Pediatric Dermatology DDX Deck E-Book

William L Weston | Joseph G. Morelli

(2016)

Additional Information

Book Details

Abstract

Featuring new photos and new treatment options, Pediatric Dermatology DDx Deck, 2nd Edition is a quick-reference, highly portable way to keep up with the rapidly changing field of pediatric dermatology.

  • Unique format allows you to quickly access clinical photos, descriptions, history, physical findings, and treatments for more than 150 conditions.
  • Arranged according to skin appearance, helping you find the most relevant condition more quickly.
  • Cross references (DDx-refs) enable you to quickly view other potential diagnoses.
  • An ideal, pocket-sized guide to diagnosis of children of all ages, including newborns.
  • More than 560 full-color photographs depict virtually any pediatric skin condition you’re likely to see.
  • New content shows primary and secondary lesions.

Table of Contents

Section Title Page Action Price
Pediatric Dermatology DDX Deck i
Table Of Contents ii
Primary and secondary lesions 1
Primary lesions 2
Secondary changes 2
Color 4
Arrangement 4
Distribution 4
Hair and nails 4
Use of the DDx Deck 4
1 Blisters (vesicles and bullae) 5
1 Herpes simplex infections 5
Clinical Features 6
Primary gingivostomatitis 6
Recurrent herpes simplex infection 8
Herpes labialis 8
Herpes keratitis 8
Herpes facialis 8
Herpetic whitlow 10
Herpes progenitalis 10
Herpes simplex in the immunosuppressed 10
Eczema herpeticum (Kaposi’s varicelliform eruption) 10
Treatment 10
Oral acyclovir, famciclovir, or valacyclovir 10
Herpes keratitis 10
2 Varicella and herpes zoster 11
Clinical Features 12
Varicella 12
Childhood varicella 12
Secondary bacterial infection 12
Varicella vaccines 12
Herpes zoster 14
Zoster 14
Treatment 14
In the healthy child 14
Secondary bullous impetigo 14
Post-varicella scarring 14
3 Hand, foot, and mouth disease 15
Clinical Features 16
This acral condition 16
Atypical hand, foot, and mouth syndrome 16
Treatment 16
4 Sucking blisters 15
5 Impetigo and ecthyma 17
Clinical Features 18
Moist, honey-colored crusts 18
Staphylococcus aureus and streptococcus 18
Ecthyma 18
Treatment 18
Topical antibiotics 18
As MRSA remains a concern 18
6 Staphylococcal scalded skin syndrome (SSSS) 19
Clinical Features 20
In infants and toddlers 20
SSSS is the result of a bacterial toxin 20
The toxin 20
Treatment 20
Infants and toddlers 20
7 Miliaria 21
2 Mucosal erosions (blister bases) 39
19 Aphthous ulcers 39
Clinical Features 40
Recurrences 40
Large ulcers 40
Treatment 40
Mild attacks 40
Topical steroids 40
For major aphthae 40
20 Stevens–Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) 41
Clinical Features 42
SJS 42
TEN 42
Reported mortality rates 42
Treatment 42
Admission to a burn unit 42
Ophthalmologic care 42
21 Geographic tongue 43
3 Pustular lesions 45
23 Folliculitis 45
4 Red papules and nodules 55
28 Furunculosis and cellulitis 55
Clinical Features 56
Furunculosis 56
5 Flat vascular lesions, blanching 81
45 Mottling 81
6 Raised blanching vascular lesions 101
55 Hemangiomas 101
Clinical Features 102
Hemangiomas of infancy (HOI) 102
There are three major types 102
Deep HOI 102
The stationary growth phase 102
The regressive phase 102
Local complications of HOI 102
Infection 104
The location of an HOI 104
There are two other types of vascular lesions 104
RICH 104
NICH 104
Treatment 104
Small ulcerations 106
For larger ulcerations 106
Superficial HOI 106
Magnetic resonance imaging 106
Infants with PHACE syndrome 106
For other HOI 106
RICH & NICH 106
56 Diffuse neonatal hemangiomatosis 107
57 Pyogenic granuloma 107
Clinical Features 108
Treatment 108
58 Lymphatic malformations 109
Clinical Features 110
Lymphatic malformations 110
7 Non-blanching vascular lesions (petechiae and purpura) 115
61 Vasculitis (Henoch–Schönlein purpura) 115
8 Papulosquamous eruptions 123
66 Pityriasis rosea 123
Clinical Features 124
Pityriasis rosea (PR) 124
The ‘herald’ patch 124
Children with a nontruncal distribution 124
Treatment 124
Most children and teens 124
67 Psoriasis 125
Clinical Features 126
Psoriasis 126
In childhood 126
Genital involvement 126
A subtype of psoriasis 126
Children 126
The isomorphic phenomenon 126
The psoriatic lesions 126
9 Eczematous disorders (red with disruption of skin surface) 159
79 Atopic dermatitis (AD) 159
Clinical Features 160
Atopic dermatitis 160
A shiny skin surface and prominent skin lines 162
Deep scratching 162
Chronic mild inflammation 162
Herpes simplex 162
Sweating 162
Irritating substances 162
Stress and anxiety 162
Treatment 162
For red itchy skin 162
Lichenified skin 162
Topical pimecrolimus cream 164
Relief of itching 164
Wet dressings 164
Antimicrobial Treatments 164
For bacterial infections 164
Severe disease 164
80 Allergic contact dermatitis (ACD) 165
Clinical Features 166
In acute blistering ACD 166
Most Prevalent Allergens in Childhood 166
Plants 166
Metals 166
Neomycin and/or bacitracin 166
Potassium dichromate 166
Thimerosal 166
Balsam of peru 166
Formaldehyde, quaterniumn-15 166
Lanolin 166
Treatment 168
With greater body involvement 168
For acute blistering ACD 168
Allergen avoidance 168
81 Diaper dermatitis 169
Clinical Features 170
A rash limited to skin under the diaper 170
The third form 170
The final form 170
Langerhans cell histiocytosis 170
Diaper dermatitis 170
Treatment 170
Changing the diaper frequently 170
Restricting fluid intake at night just prior to sleep 170
Any diaper rash 170
82 Intertrigo 171
Clinical Features 172
Both bacteria and yeast 172
The chubby baby, or overweight child, or the child who has hands or feet in water for a prolonged time 172
Treatment 172
For bacterial intertrigo 172
For C. albicans 172
83 Candidiasis 173
Clinical Features 174
In macerated skin, 174
In the immunosuppressed or immunodeficient child, 174
Congenital candidiasis, 174
Vulvovaginal candidiasis 174
Candidal granulomas 174
Children with HIV infection, 174
Treatment 174
For infantile thrush, 174
Older children 174
84 Perianal cellulitis 175
10 Skin-colored papules and nodules with a rough surface 185
91 Warts 185
Clinical Features 186
Common warts 186
Filiform warts 186
Mucosal warts 186
Flat warts 186
Plantar warts 186
Venereal warts 186
Treatment 188
Wart therapy 188
Filiform warts 188
Plantar warts 188
Cotton plasters 188
Salicylic acid 188
Vascular selective lasers 190
Strong cytodestructive therapies 190
Vesicants 190
Immunologic therapies. 190
Vaccines. 190
Antiproliferative treatments 190
Psychotherapy 190
92 Epidermal nevi (ILVEN) 191
11 Skin-colored papules and nodules with a smooth surface 193
94 Molluscum contagiosum 193
Clinical Features 194
In the child with atopic dermatitis, 194
In immune suppressed children or those with HIV infection, 194
MCV 1 194
Treatment 194
50% of molluscum will resolve within 1 year 194
If many mollusca are present, 194
New mollusca 194
Pustular mollusca 194
95 Milia and sebaceous hyperplasia 195
Clinical Features 196
Sebaceous hyperplasia 196
Treatment 196
In the older child, 196
96 Epidermal cysts 197
Clinical Features 198
12 White lesions 209
104 Post-inflammatory hypopigmentation and pityriasis alba 209
Clinical Features 210
Post-inflammatory hypopigmentation 210
Pityriasis alba 210
In both conditions, 210
Treatment 210
105 Vitiligo 211
Clinical Features 212
Vitiligo 212
In dark-skinned children 212
Generalized vitiligo 212
Segmental vitiligo 212
Treatment 212
In children with minimal disease 212
For children with <20% of the body surface involved 212
If >25% of the body surface is involved 212
In chronic vitiligo, 212
106 Piebaldism 213
13 Flat brown lesions 225
116 Mongolian spots 225
14 Raised brown lesions 237
128 Congenital melanocytic nevi 237
Clinical Features 238
Newer classifications 238
SCMN 238
LCMN 238
Numerous smaller nevi 238
Neurocutaneous melanosis (NCM) 238
Treatment 238
129 Intradermal melanocytic nevi 239
Clinical Features 240
Atypical melanocytic nevi 240
Blue nevi 242
Spitz nevi (spindle and epithelioid nevi) 242
Treatment 242
130 Mastocytosis 243
Clinical Features 244
15 Yellow lesions 249
135 Nevus sebaceous 249
16 Congenital circumscribed hair loss 253
139 Aplasia cutis congenita 253
Clinical Features 254
Syndromic aplasia cutis 254
Scalp sebaceous nevi 254
Treatment 254
17 Acquired circumscribed hair loss 255
140 Alopecia areata (AA) 255
Clinical Features 256
Examination of the nails 256
Alopecia areata 256
Treatment 256
141 Tinea capitis and kerion 257
Clinical Features 258
In T. tonsurans infection, 258
In M. canis infections, 258
There are four inflammatory stages: 258
Kerions 258
Family members 258
Treatment 258
Oral griseofulvin 258
Oral fluconazole and itraconazole 258
Sharing of hats, 258
142 Traction alopecia and hair pulling 259
Clinical Features 260
Traction alopecia 260
Acute hair pulling 260
Trichotillomania 260
Treatment 260
18 Congenital diffuse hair loss 261
143 Ectodermal dysplasias (ED) 261
19 Acquired diffuse hair loss 263
145 Telogen and anagen effluvium 263
Clinical Features 264
Treatment 264
20 Thickened nails 265
146 Pachyonychia congenita (PC) 265
147 Ectodermal dysplasia (nails) 265
Clinical Features 266
Treatment 266
148 Median nail dystrophy 267
21 Thin, slow-growing, or loss of nail 271
152 Ectodermal dysplasia and nail-patella syndrome 271
Clinical Features 272
Treatment 272
22 Pitted lesions 273
153 Ear pits and lip pits 273
23 Involvement of palms and soles 275
155 Palmoplantar keratodermas 275
Clinical Features 276
Treatment 276
24 Photodistribution (sun-induced lesions) 277
156 Polymorphous light eruption 277
25 Annular arrangements 279
158 Annular arrangement 279
Clinical Features 280
The herald patch of pityriasis rosea 280
Large urticaria 280
External skin injuries 280
26 Linear or curvilinear arrangements 281
159 Linear or curvilinear arrangement 281
Copyright Page IBC1
A Guide to Topical Steroids in Children IBC2