Paediatric Dermatology Flashcards
What is the most common dermatological abnormality that can be found on a newborn?
Haemangioma
What treatments can be given in haemoangiomas?
B-blockers have been shown to aid involution of marks
Cosmetics approaches are also available
What sites would you be concerned about a haemangioma?
Near or involving the eye
Can cause chronic stridor if airway involvement
Ulceration can occur if near lips on on perineum
In the newborn what is a salmon patch?
A V shaped lesion on either the forehead or the back of the neck. These are harmless and the lesions on the forehead will disappear by 2 yo
What is Sturge-Weber Syndrome?
Triad of port wine stain, glaucoma and brain abnormalities inc seizures. always refer to ophthalmology
WHat 2 conditions would be considered in a child with port-wine stain?
Sturge-Weber Syndrome
Kippel-Trenaunay Syndrome
What is the treatment for port-wine stain in dermatology?
Laser to improve cosmetic appearance
A child presents to your GP office with blister formation which is worse in the flexural and periorificial areas. The child is generally unwell with fever and irritability and a runny nose. The blisters are extremely tender. What is the diagnosis and what should you do?
Staphlococcal Scaled Skin Syndrome. Staph Aureas infection releasing exotoxin leading to blister formation. ABCDE approach, can be life threatening, administer IV Abs early and control pain. Reassure parents that condition should resolve within a couple of days and that it is usually non-scarring
An infant presents to your GP surgery with crops of pearly lumps less than a millimetre across with an umbilicated centre. The lumps have come on quickly and the mum thinks that it is similar to lumps her other son had 2 weeks pervious. What is the most likely diagnosis?
Molluscum Contagiosum
Caused by viral infection, these are harmless and will clear up when the child develops his own immunity
