Derm Flashcards
Also known as atopic dermatitis
Eczema
Chronic, inflammatory skin condition driving by allergic sensitivities often diagnosed before age 5
Eczema (atopic dermatitis)
Infants > trunk, cheeks, and scalp.
Older children > flexor surfaces and may have lichenified plaques
Eczema (atopic dermatitis)
Avoid triggers, maintain hydration, control itching, treat inflammation, and aggressively treat super infections
Eczema (atopic dermatitis)
Triggers > heat, perspiration (sweating), dry climates. Dust mites, molds, pet dander, milk, wheat, eggs, peanuts
Eczema (atopic dermatitis)
Limit bathing to every other day followed by application of thick creams or ointments to lock in skin moisture.
Eucerin, cetaphil, aquaphor, petroleum jelly
Eczema (atopic dermatitis)
Antihistamines (diphenhydramine, hydoxyzine, cyproheptadine)
Used to control itching
Topical corticosteroids can be used to treat
Inflammation
Mild inflammation use
Hydrocortisone
Severe inflammation use
Triamcinolone or fluocinolone
Red macules > papules > pustules.
Appear 24-48 hours after birth. Resolve in 5-7 days. No treatment needed
Erythema toxicum neonatorum
3 types of lesions.
1) Pustules with non-red base
2) Erythematous (red) macules with surrounding scaly area
3) Hyperpigmented macules.
Present AT BIRTH and resolve within weeks-months. No treatment needed.
Transient neonatal pustular melanosis
Papules/pustules appearing on face/scalp around 3 wks of age. Resolve by 4 months. Can clean with soap and water. Avoid oils and lotions
Neonatal acne
White papules of retained keratin and sebaceous material present AT BIRTH on CHEEKS AND NOSE. Resolve within first few weeks of life without treatment
Milia
Erythema (redness) and greasy scales, usually on face and scalp. Resolves within weeks-months
Seborrheic dermatitis
Apply emollient overnight, followed by massage and baby shampoo to loosen scales. Use soft brush to remove scales
Seborrheic dermatitis
- Gentle cleansing
2. Ketoconazole, selenium sulfide, hydrocortisone
Seborrheic dermatitis
Vesicles, papules, or pustules caused by accumulation of sweat in sweat ducts blocked by keratin. More common in warm climates and infants in incubators. Appears during first week of life.
Give infant cooler climate, loose clothing, and cool bath
Miliaria (crystallina, rubra, pustulosa, profunda)
Bright red, well-demarcated papules and pustules with satellite lesions in skin folds
Candidal diaper dermatitis
