14. Dermatology Flashcards
<p>5 mth old boy- weepy crusted cheeks, 3 days duration. Disturbed sleep over the last month.</p>
<p>Likely diagnosis and management?</p>
<p>Atopic eczema- emollient (sorbolene/etc), reduce exposure to triggers.</p>
<p>could be tinea, psoriasis, pityriasis rosea, lupus</p>
Associations with psoriasis?
BMI increased, waist circumference
What are the categories of psoriasis therapies?
Topical - keratolytics - moisturisers - topical steorid - VIt D - Vit A (retinoids) - Tar Phototherapy - narrow band UVB Systemic - retinoids - methotrexate - cyclosporin Biologics - etanercept, adalimumab, infliximab (anti TNFs) - anti IL 17
4 yo presents with 6 mths flesh coloured papules on trunk and limb folds - some have a dimple. they are increasing.
Dx and management?
Molluscum contagiosum
educate about water spread, contact.
Conservative management.
Tape before swimming, can use cryotherapy, but they are self limiting
Treatment of plantar warts in children
- keratinolytics - eg duofilm
- taping
- cryotherapy
7 wk old girl presents with red plaque on upper eyelid, mo noticed red dot in that area when she was 4 days old. Management?
Hemangioma/strawberry naevi
complications with close to eye/mouth - obstruction (spread> airway obstruction).
Use: propranolol
other treatments for haemangiomas
steroids- used less now
topical propanolol if in early stage
laser- as adjuvant
9 yo Indian boy presents with pale/white areas developing on his right arm and chest - they are not itchy - what is the diagnosis and management?
Vitiligo. pigmentary disorder associated with autoimmune diseases.
Diligent sun protection
When therapy is necessary - topical steroids, narrow band UV-B phototherapy
12 yo boy comes in with very itchy rash of 4 days’ standing- target spots. What is this condition and what is it caused by?
Erythema multiforme- type 4 hypersensitivity reaction to an infection, medication or other trigger
