Paediatric Dermatology Flashcards
What are salmon patches?
Vascular birthmarks believed to be due to persistent foetal circulation rather than a malformation
How common are salmon patches?
Common - up to 50% of new borns
Where do salmon patches typically present?
Facial - eyelids, forehead, nose
Nuchal
Are facial or nuchal salmon patches more persistent?
Nuchal (salmon patches tend to resolve but 10% nuchal salmon patches are present in 10% of adults)
What are facial salmon patches also known as?
Angel’s kisses
What are nuchal salmon patches also known as?
Stork marks
What are the 2 types of vascular birthmarks?
Vascular malformation
Haemangioma
Does vascular malformation resolve?
No - may progress
Do haemangiomas resolve?
Yes - most will regress and disappear to some extent
What is an haemangioma?
Vascular tumours confined to children
What is the most common vascular malformation?
Port-wine stains (Naevus flammeus)
Do port wine stains regress?
No - they persist for life
On the face PWS are described with references to which nerve?
Trigeminal (CN V)
What is Sturge Weber Syndrome?
A neurological disorder consisting of PWS of the ophthalmic region of the trigeminal nerve and ipsilateral vascular malformation of the brain
What are the complications Sturge Weber Syndrome?
Seizures - common (20% of V1 PWS)
Intellectual impairment
Hemi-paresis
Glaucoma - up to 45% (especially if upper and lower eyelids involved)