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Dermatology, Allergy, Immunity & Infection

Dermatology, Allergy, Immunity & Infection

Will Carroll

(2016)

Additional Information

Book Details

Abstract

Dermatology, Allergy, Immunity & Infection is a new e-book in a collection of subject-themed e-books containing relevant key articles from Paediatrics & Child Health. The e-books provide a perfect source of revision for post-graduate exams in paediatrics and portfolio material for life-long learning.

As well as mapping to the requirements of post-graduate training in paediatrics, these e-books also enable anyone with a short-term interest in a specific area to buy individual articles at a price-point that will give affordable access to all readers (from medical students to GPs and practitioners in related areas). The quality of user experience on mobiles, tablets and laptops will be an added bonus for learning on the move.

About the journal

The parent journal (http://www.paediatricsandchildhealthjournal.co.uk/) is a rolling, continuously updated review of clinical medicine over a 4-year cycle covering all the important topics for post-graduate exams in paediatrics. The journal’s articles are refreshed, updated, augmented or replaced as appropriate each time the subject is due for revision to provide a concise overview of knowledge and practice core to the curriculum. Each article is written by invited experts and overseen by the relevant subject specialist on the Board. A trainee representative on the Board ensures relevance and accessibility for exam candidates.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Dermatology, Allergy, Immunity and Infection: Prepare for the MRCPCH Fm-1
Copyright Page Fm-2
PREFACE Fm-4
Table of Contents Fm-5
Section 1: Dermatology 1
Assessing skin disease in children 1
Introduction 1
History 1
Associated symptoms 1
Timing 1
Previous treatments and efficacy 1
Family history 1
General health 1
Examination 1
Pattern, distribution and morphology 1
Investigations 2
Chronic skin disease 2
Hypo and depigmented conditions 3
Neonatal conditions 4
Common, benign neonatal conditions 4
Vascular lesions 4
Summary 5
FURTHER READING 5
The management of eczema in children 6
Introduction 6
Aetiology 6
Treatments 8
Complications 10
FURTHER READING 11
Management of infantile haemangioma 12
Introduction 12
Subtypes 12
Multiple haemangiomatosis 12
Extra-cutaneous haemangioma 12
Assessment of haemangioma 12
Investigation of IH 14
Treatment of haemangioma 14
Conclusion 17
FURTHER READING 17
Hair loss in infancy and childhood 18
Introduction 18
Normal hair growth 18
Evaluation of a child with hair loss 18
Hair disorders in infancy 18
My child’s hair won’t grow 20
My child has unruly hair 21
My child’s hair keeps coming out 21
My child has developed new patches of hair loss 22
Conclusion 23
FURTHER READING 23
Infections and infestations of the skin 24
Bacterial infections 24
Viral infections 25
Fungal infections 27
Infestations 28
FURTHER READING 28
Management of paediatric dermatological emergencies 30
Erythroderma 30
Collodian baby 30
Harlequin ichthyosis 30
Acute erythrodermic psoriasis (Figure 1) 30
Staphylococcal scalded skin syndrome (SSSS) (Figure 2) 31
Toxic shock syndrome (TSS) 31
Eczema herpeticum (Figure 3a and b) 32
Adverse drug reactions (ADRs) 32
StevenseJohnson syndrome (SJS) 32
Toxic epidermal necrolysis (TEN) 33
DRESS syndrome 33
Purpura fulminans 34
Infantile haemangiomas (Figure 4) 34
Epidermolysis bullosa 34
Conclusion 34
FURTHER READING 34
Section 2: Allergy 36
Paediatric allergy in review 36
Introduction 36
Prevalence 36
Risk factors 36
Diet and lifestyle 37
Pollutants 37
Immunological paradigms of sensitization and disease 38
The allergic march of childhood 38
Prospects for the future: intervention and prevention 39
FURTHER READING 40
The prevention and management of anaphylaxis 41
Introduction 41
What is anaphylaxis? 41
Management of anaphylaxis 43
Prevention of anaphylaxis 46
Conclusion 47
FURTHER READING 47
Diagnosis and management of food allergy 49
Introduction 49
Diagnosing food allergy 50
Managing food allergy 55
Follow up 57
Summary 57
FURTHER READING 57
Recurrent urticaria 58
Prevalence 58
Definition 58
Mechanism 58
Diagnosis of urticaria 58
Classification of urticaria subtypes 59
Assessment of disease activity 61
Quality of life 61
Principles of treatment of urticaria 62
Follow-up of chronic urticaria 62
FURTHER READING 62
WEBSITE 63
Allergic rhinitis — an overview of a common disease 64
Introduction 64
AR impacts on quality of life 64
Definition 64
Presentation 64
Differential diagnosis and co-morbidities 65
Allergic rhinitis and asthma 65
Differential diagnosis 66
Classification 66
Investigations 66
Therapy 66
Allergen specific immunotherapy (SIT) 68
Conclusion 68
FURTHER READING 68
Oral immunotherapy for the treatment of food allergy 70
Introduction 70
Immunological mechanisms of tolerance 70
Allergen specific immunotherapy for food allergy 70
Summary and challenges ahead 74
Role of funding source 75
FURTHER READING 75
Section 3: Infection and Immunity 76
Periodic fevers and autoinflammatory conditions 76
Introduction 76
Epidemiology 76
Pathogenesis 76
Assessment of possible AIS in a child with recurrent fever 76
Neonatal and infantile fevers 77
Childhood periodic fevers 78
Principles of treatment 80
Conclusion 80
FURTHER READING 80
Treating malaria in the UK 81
Background 81
Pathogenesis 81
Clinical presentation 81
Diagnosis 82
Treatment 82
FURTHER READING 84
Infection following haematopoietic stem cell transplantation 85
Introduction 85
Haematopoietic stem cell transplant procedure 85
Preventative measures 85
Assessment and treatment of pre-existing infection 86
Infection through the transplant period 86
Routine viral surveillance and treatment 86
Preservation of immune function through transplantation 88
Immunomodulatory treatments for GvHD 89
Future perspectives 89
Conclusion 90
FURTHER READING 90
Treating invasive Group A Streptococcal infections 91
Introduction 91
The bacterium 91
Epidemiology 91
Emm type and disease severity 92
Transmission 92
Risk factors for disease 92
Pathogenesis 93
Superantigens 93
Presentation 94
Diagnosis 94
Investigations 94
Management 95
Challenges in treatment 95
Sources of funding 96
FURTHER READING 96
Central nervous system herpesvirus infections 97
Introduction 97
Herpes simplex virus (HSV) 97
Sporadic HSV encephalitis (HSE) 97
Neonatal HSV CNS disease 99
Varicella-Zoster virus (VZV) 99
EpsteineBarr virus (EBV) 100
Cytomegalovirus (CMV) 100
HHV-6 101
HHV-7 102
Conclusions 102
FURTHER READING 102
Congenital cytomegalovirus infection 104
Introduction 104
Clinical manifestations 105
Diagnosis 106
Management 107
Long-term follow-up 107
Prevention 108
FURTHER READING 108
The normal function of the immune system in a clinical context 109
Introduction 109
Overview — the integrated immune response 109
First lines of defence 109
Complement 109
Cellular responses of the innate immune system 110
Adaptive immunity 112
Immunological memory 115
The spleen 115
Mucosal immune system 115
Conclusion 116
FURTHER READING 116
Current developments and trends in childhood immunization 117
Introduction 117
Live attenuated intranasal vaccine against influenza 118
Rotavirus gastroenteritis 119
Pertussis 120
Meningococcal vaccines 120
Conclusions 121
FURTHER READING 122
An update on HIV in children 123
Introduction 123
Pathways of infection and prevention 123
Financial disclosure statement 127
FURTHER READING 128
Advances in management of primary immunodeficiency 129
Diagnosis 129
Newborn screening 130
Management 130
FURTHER READING 133
Adverse events following immunizations: fact and fiction 135
Introduction 135
Vaccine registration 135
Definitions of adverse events following immunization (AEFI) 135
Fiction 136
Autoimmune diseases 136
MMR and autism 137
Background rates of AEFI 137
No fault compensation 137
Summary 137
FURTHER READING 137