paeds derm Flashcards
mongolian blue spot
bluish pigmentation over buttock
congenital melanocytic naevi
pigmented birthmark
can be small, medium, giant
what is a salmon patch
a vascular birthmark, due to persistance of the foetal circulation .
macular erythematous patch
if salmon patch is on face - whats it called
angel kisses
if salmon patch is on back of neck - whats it called
stork mark
Mx salmon patch
nothing - they disappear completely
what is a port wine stain
a capillary malformation.
large flat patch of purple or dark red skin with well-defined borders
what syndromes can a port wine stain be associated with
sturge weber syndrome
klippel trenauney syndrome
sturge weber syndrome
port wine stain in one part of the trigeminal nerve + defects in the underlying tissue
presentation sturge weber syndrome
seizures
intellectual impairment
hemiparesis
glaucoma (opthal r/v needed)
klippel trenauney syndrome
port wine stain + capillary-venous malformation or capillary-lymphatic-venous malformation
presentation klippel trenauney syndrome
progressive limb overgrowth
fluid filled cysts
what is an infantile haemangioma
“strawberry naevi”
benign soft tissue tumour
Mx of peri-ocular infantile haemangioma
oral propanolol
oral steroids
or
intralesional steroids
further Ix of peri-ocular haemangioma
USS - can be a marker of an underlying defect (rare)
