Pediatric dermatology look-alikes

Eczema coxsackie vs eczema herpetica
Eczema coxsackie – on face
Eczema herpetic – deeper lesions, located anywhere

Shingles vs herpes
Shingles – *can occur in children*. PAINFUL, causes neuralgia
Herpes – no neuralgia

Tina corporis clinical findings
Tina corporis clinical findings
-*single lesions*
-asymmetrical distribution (if multiple)
-*annular, circular or oval lesions* (usually oval on face)
-*erythematous lesion WITH SCALE*

gianotti-crosti syndrome
gianotti-crosti syndrome
-*viral illness* – EBV, Hep A,C, CMV, coxsackievirus, rotavirus, parvovirus
-*generalized lymphadenopathy* may be seen
-papular lesions, urticarial lesions
-concentrated on *arms* and *legs*
-*koebner phenomenon*

gianotti-crosti syndrome tx
*Topical corticosteroids*
-oral antihistamines (if pruritic)

Tina corporis tx
-Topical anti-fungals for x2 weeks
-oral anti-fungal (if infection persists)

Hand-foot- and- mouth disease
-*fever*
-*coxsackie virus* (human enterovirus 71 too)
EXANTHEM
-vesicular eruption
-lateral fingers and toes
-*elliptical shape with surrounding erythema*
ENANTHEM – vesicle in oral cavity rupture and become ulcers. *lateral aspects of tongue*

Hand foot and mouth disease treatment
-fluid intake
-fever control
-analgesics

perioral dermatitis
perioral dermatitis
-seen in children that take *inhaled corticosteroids*
-erythematous papules in the *perioral/perinatal/periorbital* areas
-*similar to Rosales and acne* – no comodones
-may have *some scale* (none in acne – which has oiliness associated)

Perioral dermatitis treatment
-avoid topical steroids
-*topical metronidazole*

Tinea capitis
Tinea capitis
-*patchy alopecia with scale*
-diffuse scale
-crusting or postures
-*occipital lymphadenopathy*
-*trichophyton tonsurans* is MC etiology
*Wood’s light examination* – negative doesn’t help, but if positive can

Preferred treatment for tinea capitis
-Griseofulvin
-*good safety profile*
-side effects: HA, GI disturbances, urticarial, “ID” reaction (start treating then will get fine bumps)

2nd tier treatment for tinea capitis
-*Fluconazole* (if griseofulvin doesn’t work)
-side effects: GI disturbances

Treatment for tinea cavities d/t microsporum canis
*terbinafine*
Side effects: GI disturbances, taste loss (causes weight loss)

itraconazole
Treatment option for tinea cavities
Side effects: *hepatotoxicity*

Scabies vs dyshidrotic eczema
-dyshidrotic eczema: on *side of hands*, pruritic

Scabies clinical findings
Scabies clinical findings
-*pruritus* (especially at night)
-*eczematous* (scaly) patches and papules
-*finger web spaces*, axilla, wrists, belt-line, and groin area
-*burrows*

Scabies treatment
-permethrin
-apply under nails and every where

Frostbite clinical finding
Frostbite clinical finding
*frostnip* is the first stage
-fingers, toes, nose, ears, cheeks, and chin common areas affected
-*first cold* – *reddened* – *numb* – *hard* – *pale*

Frostbite treatment
-get out of cold
-gently re-warm with *warm water* – not hot
-avoid trauma while numb

Herpes zoster presentation
Herpes zoster presentation
-*painful rash*
-*one side of body*
-*concern around the eye*

Child abuse suspect if….
-story does not match with physical findings
-stories inconsistent
-unusual pattern of injury (LE ecchymosis on children that can’t walk yet)
-injuries at different stages
-check previous records

Erythema AB IGNE
Erythema AB IGNE
*NOT CHILD ABUSE*
-heat exposure insufficient to cause a burn
-heaters, heating pads, hot water bottle
-reticulated erythema
-*hyperpigmentation*

pytophodermatitis
*NOT CHILD ABUSE*
-associated with *furocoumarins* and *sun exposure*
-can be found in *citrus fruits*
-more severe cases may *develop bullae*
*looks similar to ecchymosis* – hyperpigmentation in an unusual pattern

apthalous ulcer vs becht’s dz vs herpes simplex vs herpangina
apthalous ulcer – no fever associated
becht’s disease – complex of apthalous ulcers
Herpes simplex – anterior mouth
herpangina – posterior mouth

A&P Chap. 8 Fun Facts

Herpes Simplex Type 1 This disease is visible by small, fluid-filled blisters. Herpes Simplex Type 2 A warm bath may be soothing for this. Herpes Varicella It is also known as Chickenpox. Jaundice It can cause hearing loss. Scabies It …

Dermatology with Dr Fitz II Psoriasis Shingles Herpes simplex

Distinct borders Thick silvery scales Candle waxing Auspitz sign (pinpoint bleeding when scales brushed away) loc: Yang areas, belly button, genitals, but crack, scalp, nose Heavy genetic component Psoriasis Long term use of corticosteroids can lead to thin skin. Irreversible. …

Dermatology

Rocky Mountain Spotted Fever Presentation classic rash – small red spots (petechiae) that starts to erupt on both the hands & feet (including palms & soles) that rapidly progress toward the trunk until they become generalized. Rash appears on the …

tcm-dermatology-herpes zoster(shingles)-snake cluster sores

Blazing fire in the liver channel Long Dan Cao lesions are red with tense vesicles walls that are bright and red and have a burning sensation. thirst for cold water restlessness and easily angered Long Dan Cao- blazing fire in …

Skin conditions

Acne – Causes When oil (sebum) mixes with dead cells and clogs the pores, acne forms. When bacteria penetrates, it swells and reddens Acne – Treatment Benzoyl peroxide: (topical) reduce acne-causing bacteria Salicylic acid: (topical) unclog pores Acne – Treatment …

Pediatric Croup, Bronchiolitis and Epiglottitis

Respiratory tract lesions such as pediatric croup, bronchiolitis and epiglottitis comprise a group of acute infections that are not prevalent but can be life-threatening. A majority of such infections are reported in younger children and are easily managed with appropriate …

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