Chapter 104 - Adolescent Dermatology Flashcards
Occurs in 2-5 years of age wherein terminal hairs are replaced by vellus hairs at the frontotemporal scalp
Triangular temporal alopecia
Pyramidal soft velvety tongue like smooth protrusion almost exclusively in females located midline anterior to anus
Infantile perineal protrusion
Infantile pyramidal protrusion
Idiopathic form of retention keratosis in diaper wearing infants with thick flake like scale
Infantile granular parakeratosis
Performing procedures on a young child
A-nesthesia; appointment times B-lood C- alm parents; consent D- istraction techniques E- xpedite procedure F- our hands G- o to a day surgery setting H- overing parents I- nvest time
Toxicity of emla \_\_g for 1 to 3 mo old \_\_g for 3- 12 mo old \_\_g for 1 to 6 year old \_\_g for 7 to 12 years old
1
2
10
20
Alkalinization to pH 7 decreases shelf life to approximately ___ due to rapid oxidation of epinephrine
1 week
Patch testing in children, top allergens are
22% nickel 11% fragrance mix 1 9.1% cobalt 8% balsam of Peru 7% neomycin, propylene glycol 6% cocamidopropyl betaine, bacitracin, formaldehyde, gold
Mean age of patch testing in children
11 years old
In adolescents, short term outcomes are valued more.
True or False
True
___ is powerful motivator for adolescents
Body image
Females with treatment resistant acne and signs of virilization should be evaluated for
PCOS
Adherence to __ mos of OCPS is needed to establish Tx efficacy
3
Spironolactone with concomitant administration of OCP with __ requires potassium monitoring
Drospirenone
If no abnormalities occur during the __ mos of tx of isotretinoin foregoing of lab monitoring is appropriate
First 2 mos
___ may decrease risk of glucocorticoid growth suppression
Alternate day with single morning dosing
Tetracycline is contraindicated in children less than __ years
8
Quinolones are contraindicated in children less than __ years
18
Intracranial connection in __% of midline dermoids
25
Intracranial connection in __% of encephaloceles
100%
Telogen effluvium is commonly observed in infants, esp. ___ mos of age
3 to 4
Occipital alopecia is a combination of ff factors
Physiologic telogen effluvium
localized Pressure
Triangular temporal alopecia is a form of scarring alopecia.
True or False
False, nonscarring
Factors to differentiate temporal triangular alopecia vs alopecia areata
- Typical location, shape
- Presence of vellus hairs
- Absence of exclamation point hairs, histologic findings of alopecia areata
Early onset in alopecia areata is considered a good prognosis
True or False
False, poor
Alopecia areata in 1 year olds should be distinguished from the ff genetic disorders
Congenital atrichia with papular lesions
Vitamin D resistance
___ is most common dermatophyte in tinea capitis
Trichophyton tonsurans
Treatment of choice for tinea capitis
Oral griseofulvin
3 settings of infantile perineal protrusion
Constitutional
Functional
Associated with lichen sclerosus et atrophicus
