Zusammenfassung der Ressource
other childhood skin disorders
- psoriasis
- familial disorder
- rarely presents before 2 years old
- guttate type
- common in
children
- often follows
strep or viral sore
throat or ear
infection
- DCM
- small,
raindrop-like,
round or oval
erythematous
scaly plaques
- on trunk & upper limbs
- attack
resolves
over 3-4
months
- but recurrence
within next 3-5
years
- Rx
- bland ointments
- chronic psoriasis
- plaques or annular lesions
- less
common
in
children
- nail pitting
- unusual in kids
- psoriatic arthritis
- effect on quality of life
- Rx
- for plaque psoriasis & scalp involvement
- coal tar preps
- plaque psoriasis in > 6 years
- calcipotriol (vit D analogue)
- pityriasis rosea
- acute, benign
self-limiting
condition
- of viral origin
- presentation
- 1. starts as a single
round or oval scaly
macule (herald
patch) 2-5 cm
diameter
- on
trunk,
upper
arm,
neck or
thigh
- 2. after few days, macules
develop on trunk, upper arms &
thighs
- rash tends to follow line of ribs posteriorly (fir tree pattern)
- sometimes itchy
- No Rx needed. Rash
resolves within 4-6
weeks
- Alopecia areata
- common form of hair loss in kids
- presentation
- hairless, single
or multiple
non-inflamed
smooth areas of
skin (usually over
scalp)
- remnants of broken-off hairs
(exclammation mark hairs) @ edge
of active patches of hair fall
- prognosis
- more guarded in kids
w/ atopic disorders
- the more extensive
the hair loss, the
poorer the prognosis
- regrowth often occurs
within 6-12 months in
localised hair loss
- granuloma annulare
- DCM
- annular w/ raised flesh-coloured
non scaling edge
- edge differentiates it from ringworm
- over bony prominences, esp hands & feet
- but can be anywhere
- single or multiple lesions, 1-3 cm diameter
- subcutaneous form exists
- acne vulgaris
- acne may start 1-2 years
before onset of puberty
- ff androgenic
stimulation of
sebaceous glands &
increased sebum
excretion rate
- obstruction to
flow of sebum
in sebaceous
follicle starts
process of
acne
- DCM
- open comedones
(blackheads) or
closed comedones
(whiteheads)
- progressing to
papules, pustules,
nodules & cysts
- more severe cystic & nodular lesions -> scarring
- face, back,
chest &
shoulders
- exacerbations
assoc w/
- menstruation
- emotional
stress
- usually resolves in late teens, but may persist
- Rx
- topical Rx aimed
to encourage skin
to peel
- keratolytic
agent e.g.
benzoyl
peroxide
- applied 1-2x/daily
after washing
- sunshine in
moderation
- topical Abx
- topical
retinoids
- more severe acne
- oral Abx
- tetracylines
- for > 12 year olds only
- discolour teeth in younger kids
- erythromycin
- isotretinoin (oral retinoid)
- severe acne in teens
unresponsive to other Rx